Consent to Treatment

Cathryn Harbor, MD

Rockbridge Traditional Medicine

7 Estill Street, Lexington VA – 24450

(540) 463-2882

bridgemed@rockbridge.net 

Excellent medical care requires conversations between patient and provider whereby the physician tells the patient the risks, benefits, and alternatives and the patient tells the provider what’s acceptable to them – their preferences and values. This shared decision-making is rooted upon mutual respect and based on a foundation of open and honest communication.

 

I seek medical care from Dr. Cathryn Harbor. Treatment may involve the use of diet changes, prescription medicines including antibiotics, herbs, an exercise or rehabilitation program, vitamins, supplements, and over the counter medicines. I understand that treatment sometimes involves off-label use of medicines. I understand that I will be informed when any off-label medicine use is suggested. I understand that there are potential risks involved in using any medicine. I understand that, as no single treatment regimen is universally successful for any ailment, it is possible that therapies used may be of minimal or no benefit. 

 

I understand that Dr Harbor does not always follow regimented protocols in treating people – she works with each patient to help them return to optimal health in the best way for their individual needs. I understand that it is conceivable that some or all of my current symptoms may be due to an illness that we have not considered, or they may represent permanent changes to my system, in which case treatment may bring no benefit.

 

The diagnosis, management, and clinical conclusions made by Dr. Harbor in my case will require my input, such as honest and accurate reporting of symptoms and willingness to agree to ongoing reasonable testing and relatively frequent follow-up visits. I realize that I therefore am an active participant in the diagnostic and therapeutic process and accept and share responsibility for any and all potential outcomes.

 

I understand and accept the treatments offered and my role in my care. I also understand that complications may result. With all this in mind, I consent to being treated by Dr. Harbor.