Splint Consent Form

1. Splints, as a treatment option are used in the management of a variety of conditions. Splints aid the treatment process and are used as a component of a treatment package. There are numerous published articles that provide evidence to support their use. A qualified hand therapist is trained to decide which splint is appropriate for various conditions.

Splints can cause problems if they are not applied correctly or used according to the Hand Therapists recommendations. Your Hand Therapist will provide you with the necessary precautions as well as your specific wearing schedule.

2. I agree that the value of the prescribed splint has been explained to me and that I am aware of the risks and benefits of wearing the splints.

3. I also understand that the splint will need to be reviewed by the hand therapist at a follow-up session in order to check the skin condition beneath the splint as well as check if the position of the splint and if the splint needs to be adjusted.

4. I understand that my condition may not improve or may recur in spite of the use of the splint. I accept that my therapist will guide me through my condition and will let me know when the right time will be to discontinue the splint.

5. I understand that a splint can only do me harm if it is not worn correctly or reviewed timelessly by my Hand Therapist.

6. Having been informed of the role of ultrasound in my treatment plan, I hereby give consent to the application of the splint and accept that there are no clinical risks involved in its application. I do, however, understand that its application may not fully resolve my condition and additional therapeutic techniques and modalities may need to be used to improve my condition.