Continua Kids Registration Form

  • I hereby give my consent for treatment at Continua kids and to keep and preserve the digitally signed reports/records issued by Continua kids for my future reference and record.
  • I hereby certify that the information provided is accurate to the best of my knowledge.
  • I consent on behalf of my child to undergo medical tests, procedures, therapeutic treatments as may be required.
  • I have been explained that these therapeutic interventions can in no way result in cure of neurological illnesses but are there to help in achieving full potential of my child. Management is not responsible for loss of any personal items.