¶¶Òõ¶ÌÊÓÆµ

Physical Therapy Release Form Template for England and Wales

Create a bespoke document in minutes,  or upload and review your own.

4.6 / 5
4.8 / 5

Let's create your Physical Therapy Release Form

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.

Get your first 2 documents free

Your data doesn't train Genie's AI

You keep IP ownership of your information

Key Requirements PROMPT example:

Physical Therapy Release Form

"I need a Physical Therapy Release Form for my private practice in Cardiff, which must include specific clauses about sports injury treatment and a comprehensive section about recording treatment sessions for training purposes."

Document background
The Physical Therapy Release Form is a critical document used in healthcare settings across England and Wales to establish a clear agreement between physical therapists and their patients. It serves multiple purposes: obtaining informed consent, documenting medical history, acknowledging potential risks, and ensuring compliance with UK healthcare regulations and data protection requirements. This document is essential for protecting both the healthcare provider and patient, while maintaining professional standards in accordance with Health and Care Professions Council guidelines.
Suggested Sections

1. Patient Information: Basic personal and contact details of the patient including name, address, date of birth, and contact information

2. Medical History Declaration: Patient's relevant medical history, current conditions, medications, and previous treatments

3. Consent to Treatment: Express consent for physical therapy treatment, acknowledging understanding of the procedure

4. Risk Acknowledgment: Recognition of potential risks and complications associated with physical therapy treatment

5. Privacy Notice: Information about how personal and medical information will be handled in accordance with UK GDPR

Optional Sections

1. Insurance Details: Patient's insurance information and coverage details, included when treatment is covered by insurance

2. Emergency Contact: Alternative contact details, recommended for elderly or high-risk patients

3. Photo/Video Consent: Permission for documentation of treatment through photos or videos, used when required for clinical purposes

Suggested Schedules

1. Treatment Plan: Detailed outline of proposed physical therapy interventions, frequency, and expected duration

2. Fee Schedule: Breakdown of treatment costs, payment terms, and cancellation policies

3. Exercise Instructions: Detailed guidance for prescribed home exercises and self-care protocols

Authors

Alex Denne

Head of Growth (Open Source Law) @ ¶¶Òõ¶ÌÊÓÆµ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Relevant legal definitions

























Clauses




















Industries

UK GDPR and Data Protection Act 2018: Key legislation governing the processing and protection of patient personal and medical information in the UK healthcare setting

Health and Social Care Act 2012: Primary legislation organizing healthcare provision in England, setting standards for healthcare services

Health and Care Act 2022: Recent legislation updating healthcare regulation and service delivery requirements in England

HCPC Regulations: Regulatory framework set by the Health and Care Professions Council governing physiotherapy practice

CSP Guidelines: Professional guidelines established by the Chartered Society of Physiotherapy for practice standards

Consumer Rights Act 2015: Legislation protecting consumer rights in service contracts, including healthcare services

Consumer Protection Act 1987: Law providing protection to consumers regarding services and potential damages

Unfair Contract Terms Act 1977: Legislation regulating unfair terms in contracts, ensuring fairness in release forms

Mental Capacity Act 2005: Law governing decision-making and consent for individuals who may lack capacity

Standards of Proficiency for Physiotherapists: Professional standards that all physiotherapists must meet to practice in the UK

Limitation Act 1980: Legislation setting time limits for bringing legal claims, relevant for liability provisions

Equality Act 2010: Law ensuring non-discrimination and equal treatment in healthcare service provision

Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

Find the exact document you need

Vehicle Release Form Towing

find out more

Vehicle Release Authorisation Form

find out more

Vehicle Property Release Form

find out more

Transcript Release Authorisation

find out more

Temporary Medical Permission Form

find out more

Temporary Guardian Medical Release Form

find out more

Simple Release Form

find out more

Simple Medical Release Form

find out more

Simple Medical Consent Form

find out more

Return To Work Medical Release

find out more

Release Of Medical Records To Family Members Form

find out more

Release Of Information Form For Rental History

find out more

Release Of Care Form

find out more

Release Letter Form

find out more

Protected Health Information Form

find out more

Probate Receipt And Release Form

find out more

Printable Medical Records Release Authorisation Form

find out more

Printable Media Release Form

find out more

Printable Dental Release Form

find out more

Physical Therapy Release Form

find out more

Photo Printing Rights Release Form

find out more

Permission To Use Photo Agreement

find out more

Paid In Full Release Form

find out more

Package Release Form

find out more

Military Medical Records Request Form

find out more

Mental Health Records Release Form

find out more

Medical Treatment Authorisation Form

find out more

Medical Treatment Authorisation And Consent

find out more

Medical Release Form To Return To Work

find out more

Medical Release Form For Family Members

find out more

Medical Release Consent Form

find out more

Medical Consent Authorisation Form

find out more

Licence Release Form

find out more

Legal Release Form

find out more

Letter Of Consent Medical Authorisation Form

find out more

Impound Release Form

find out more

Hospital Release Form

find out more

Hitech Release Form

find out more

Generic Printable Medical Records Release Authorisation Form

find out more

General Release Of Information Consent Form

find out more

General Medical Record Release Form

find out more

General Authorisation To Release Information Form

find out more

Employment Verification Release

find out more

Employer Release Of Information Form

find out more

Emergency Medical Treatment Authorisation Form

find out more

Emergency Medical Authorisation Form

find out more

Driving Record Consent Form

find out more

Dental Release Form

find out more

Dental Records Request Form

find out more

Dental Photo Consent Form

find out more

Dental Patient Release Form

find out more

Dental Medical Records Release Form

find out more

Daycare Medical Release Form

find out more

Consent To Release Personal Information Form

find out more

Consent To Release Medical Records

find out more

Consent For Release Of Protected Health Information

find out more

Client Authorisation To Release Information To Third Parties

find out more

Car Title Lien Release Letter

find out more

Basic Photography Release Form

find out more

Background Release Form

find out more

Authorisation To Use And Disclose Protected Health Information Form

find out more

Authorisation To Release Records

find out more

Authorisation To Release Personal Information

find out more

Authorisation To Release Loan Information

find out more

Authorisation To Release Legal File

find out more

Authorisation To Release Information To Family Members

find out more

Authorisation To Release Information To A Third Party Form

find out more

Authorisation To Release Information

find out more

Authorisation To Release Immunization Records

find out more

Authorisation To Release Health Care Information

find out more

Authorisation To Release Credit Information Form

find out more

Authorisation To Disclose Information

find out more

Authorisation Letter For Release Of Information

find out more

Authorisation For Disclosure Of Information Form

find out more

Authorisation For Disclosure

find out more

Authorisation Disclosure Form

find out more

Authorisation For Release Of Protected Health Information Phi

find out more

Authorisation For Release Of Personal Information

find out more

Authorisation For Release Of Information Form

find out more

Authorisation For Release Of Health Records

find out more

Authorisation For Release Of Health Information

find out more

Authorisation For Release Of Financial Information

find out more

Authorisation For Release Of Employment Records

find out more

Authorisation For Release Of Employment Information

find out more

Authorisation For Release Of Dental Records

find out more

Authorisation For Release Of Confidential Information

find out more

Authorisation For Release Of Cell Phone Records

find out more

Authorisation For Disclosure Of Protected Health Information Form

find out more

Authorisation For Disclosure Of Medical Information

find out more

Actor Release Form

find out more

Authorisation Of Release Of Unemployment Records Form

A legal form used in England and Wales to authorize the release of individual unemployment records in compliance with UK data protection laws.

find out more

Authorisation For Release Of Records

A legal document under English and Welsh law authorizing the release of specific records from one party to another, in compliance with UK data protection legislation.

find out more

Release Of Information Statement

A legal document under English and Welsh law authorizing and governing the release of specific information between parties while ensuring data protection compliance.

find out more

Printable Work Release Form

A legally binding document under English and Welsh law that formalizes the termination of employment and mutual release of claims between employer and employee.

find out more

Dental Release Of Information Form

A legal document under English and Welsh law authorizing the release of dental records and information to specified parties.

find out more

Work Release Form From Doctor

A medical document used in England and Wales certifying an employee's fitness to return to work, compliant with UK healthcare and employment regulations.

find out more

Universal Medical Release Form

A legal document under English and Welsh law authorizing the release of medical records to specified parties while ensuring data protection compliance.

find out more

Service Release Form

A legally binding document under English and Welsh law that releases parties from obligations and liabilities related to completed services.

find out more

Revocation Of Release Of Information Form

An English and Welsh law-compliant document for withdrawing previously granted authorization for information sharing and processing.

find out more

Release Form For Video Recording

A legal document under English and Welsh law that obtains consent for video recording and establishes usage rights for the recorded content.

find out more

Download our whitepaper on the future of AI in Legal

By providing your email address you are consenting to our Privacy Notice.
Thank you for downloading our whitepaper. This should arrive in your inbox shortly. In the meantime, why not jump straight to a section that interests you here: /our-research
Oops! Something went wrong while submitting the form.

³Ò±ð²Ô¾±±ð’s Security Promise

Genie is the safest place to draft. Here’s how we prioritise your privacy and security.

Your documents are private:

We do not train on your data; ³Ò±ð²Ô¾±±ð’s AI improves independently

All data stored on Genie is private to your organisation

Your documents are protected:

Your documents are protected by ultra-secure 256-bit encryption

Our bank-grade security infrastructure undergoes regular external audits

We are ISO27001 certified, so your data is secure

Organizational security

You retain IP ownership of your documents

You have full control over your data and who gets to see it

Innovation in privacy:

Genie partnered with the Computational Privacy Department at Imperial College London

Together, we ran a £1 million research project on privacy and anonymity in legal contracts

Want to know more?

Visit our for more details and real-time security updates.