Release of Liability
Create legally compliant California Chiropractic Release of Liability forms. Protect your practice from malpractice claims and satisfy Cal-OSHA requirements.
Fill the form
Customized fields for your role
Preview live
See your document update in real time
Download PDF
Free watermarked or $9 clean copy
As a Doctor of Chiropractic in California, you operate under unique regulatory scrutiny from the Board of Chiropractic Examiners. A general release isn't enough to mitigate professional malpractice... Read more
Customize your Release of Liability
12 fields · Takes about 2 minutes
Accept terms in the form to enable downloads
Customize your Release of Liability
12 fields · Takes about 2 minutes
Legal Document
This Release of Liability (this "Release") is made and entered into as of [date] (the "Effective Date"), by and between [releasor_name] (the "Releasor") and [releasee_name] (the "Releasee"). In consideration of the mutual covenants and agreements set forth herein, and for other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the Parties agree as follows:
WHEREAS, certain events, incidents, disputes, or claims have arisen between the Releasor and the Releasee as more fully described herein; and
WHEREAS, the Parties desire to fully, finally, and forever resolve any and all claims, disputes, and causes of action arising from or related to the matters described herein; and
WHEREAS, the Parties enter into this Release voluntarily and with full knowledge of its terms and consequences.
NOW, THEREFORE, in consideration of the promises, covenants, and agreements set forth herein, and for other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the Parties agree as follows:
The Parties acknowledge and agree that this Release arises from and relates to the following facts and circumstances: [incident_description] (the "Incident"). The Releasor acknowledges that the foregoing description accurately and completely sets forth the relevant facts and circumstances giving rise to this Release, and that the Releasor has had a full and adequate opportunity to review, investigate, and evaluate the facts and circumstances described herein prior to the execution of this Release. The Parties enter into this Release with full knowledge of the nature, extent, and consequences of the Incident, and each Party represents that it has not relied upon any statement, representation, or promise of the other Party, except as expressly set forth in this Release.
The Releasor, on behalf of the Releasor and the Releasor's heirs, executors, administrators, personal representatives, successors, and assigns, hereby FOREVER RELEASES, ACQUITS, AND DISCHARGES the Releasee, together with the Releasee's heirs, executors, administrators, personal representatives, officers, directors, employees, agents, representatives, insurers, attorneys, affiliates, subsidiaries, parent companies, successors, and assigns (collectively, the "Released Parties"), from any and all claims, demands, actions, causes of action, suits, debts, dues, accounts, bonds, covenants, contracts, agreements, judgments, liabilities, obligations, damages, losses, costs, and expenses of every kind and nature whatsoever, whether known or unknown, suspected or unsuspected, disclosed or undisclosed, matured or unmatured, accrued or unaccrued, fixed or contingent, at law or in equity, that the Releasor now has, has ever had, or may hereafter have against any of the Released Parties, arising out of, connected with, or in any way related to the Incident described in Section 1, including but not limited to claims for personal injury, bodily injury, emotional distress, pain and suffering, property damage, economic loss, consequential damages, punitive damages, attorneys' fees, and costs (collectively, the "Released Claims"). This Release is intended to be as broad and inclusive as permitted by applicable law.
The Parties acknowledge that the consideration for this Release is adequate and sufficient to support the promises and covenants contained herein.
The Releasor hereby covenants and agrees that the Releasor shall not, at any time hereafter, commence, maintain, prosecute, or cause to be commenced, maintained, or prosecuted, any action, suit, proceeding, complaint, charge, or claim of any kind, in any court, tribunal, administrative agency, or other forum, against any of the Released Parties, based upon, arising out of, or in any way related to any of the Released Claims. The Releasor acknowledges and agrees that in the event the Releasor breaches this covenant not to sue, the Released Parties shall be entitled to recover from the Releasor all costs, expenses, and attorneys' fees incurred in defending against any such action, suit, or proceeding, in addition to any other remedies available at law or in equity. This covenant not to sue is a material inducement for the Releasee to enter into this Release.
Each Party executing this Release hereby represents and warrants that: (a) such Party has carefully read this Release in its entirety and fully understands its terms, conditions, and consequences; (b) such Party is executing this Release freely, voluntarily, and without coercion, duress, or undue influence of any kind; (c) such Party has had the opportunity to consult with legal counsel of such Party's own choosing before executing this Release, and has either done so or has voluntarily elected not to do so; (d) such Party has not assigned, transferred, conveyed, or otherwise disposed of any of the claims, demands, or causes of action released herein, and no other person or entity has any interest in the Released Claims; (e) such Party is at least eighteen (18) years of age and is legally competent to enter into this Release; (f) such Party has full right, power, and authority to execute this Release and to perform all obligations hereunder; and (g) no oral representations, statements, promises, or inducements apart from the terms expressly set forth in this Release have been made to such Party.
6.1 Governing Law. This Release shall be governed by, and construed and enforced in accordance with, the laws of the state in which this Release is executed, without regard to its conflict of laws principles. Each Party irrevocably consents to the exclusive jurisdiction and venue of the state and federal courts located in the state in which this Release is executed. 6.2 Entire Agreement. This Release constitutes the entire agreement between the Parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements, understandings, negotiations, and discussions, whether oral or written. 6.3 Severability. If any provision of this Release is held to be invalid, illegal, or unenforceable by a court of competent jurisdiction, such invalidity, illegality, or unenforceability shall not affect any other provision, and the remaining provisions shall continue in full force and effect. 6.4 Amendment. This Release may not be amended, modified, or supplemented except by a written instrument signed by all Parties. 6.5 Counterparts. This Release may be executed in counterparts, each of which shall be deemed an original and all of which together shall constitute one and the same instrument. 6.6 Binding Effect. This Release shall be binding upon and shall inure to the benefit of the Parties and their respective heirs, executors, administrators, legal representatives, successors, and assigns. 6.7 Construction. The language of this Release shall be construed as a whole according to its fair meaning, and not strictly for or against either Party. The headings in this Release are for convenience of reference only and shall not affect the interpretation of any provision.
The Releasor acknowledges that the practice of chiropractic, specifically spinal adjustments or manipulations, involves certain inherent risks. These risks include, but are not limited to, fractures, disc injuries, strokes, dislocations, and sprains. By signing this release, the Releasor acknowledges they have been informed of these risks in compliance with the California Chiropractic Practice Act and voluntarily assumes all such risks associated with the treatment plan provided by the Releasee.
The Releasor expressly waives all rights under California Civil Code Section 1542, which states: 'A general release does not extend to claims that the creditor or releasing party does not know or suspect to exist in his or her favor at the time of executing the release and that, if known by him or her, would have materially affected his or her settlement with the debtor or released party.' Releasor understands that this waiver means even if injuries or complications from the adjustment manifest at a later Date, they are still covered by this release.
Releasor agrees to comply with all safety protocols and post-treatment instructions provided by the Releasee. In accordance with Cal-OSHA clinical environment standards, the Releasor acknowledges their responsibility to report any immediate physical distress or environmental hazards observed within the clinic. Failure to follow prescribed 'home care' or 'restricted activity' instructions shall constitute a complete defense to any claim of injury arising from such negligence by the Releasor.
[known contraindications]
IN WITNESS WHEREOF, the undersigned have executed this Release of Liability as of the date first written above, each acknowledging that they have read and understood the terms herein and agree to be bound thereby.
Releasor
Name: Releasor
Date: ___________________
Releasee
Name: Releasee
Date: ___________________
As a Doctor of Chiropractic in California, you operate under unique regulatory scrutiny from the Board of Chiropractic Examiners. A general release isn't enough to mitigate professional malpractice risks or clarify informed consent gaps regarding spinal adjustments and subluxation treatments. Our document integrates California Civil Code protections with industry-specific risk management to ensure that patients fully acknowledge treatment risks—including rare but serious neurological incidents—protecting your personal assets and licensure from costly litigation.
Beyond the standard release of liability sections, this template adds fields specific to Chiropractor:
The core legal purpose of a Release of Liability is to protect one party (the Releasee) from legal claims or lawsuits from another party (the Releasor) related to the subject of the release, such as an activity, transaction, or event.
Patient injury claims
Use detailed informed consent forms and patient waivers clarifying the treatment risks and procedures involved.
For this release of liability to be legally valid:
Common mistakes to avoid:
Chiropractic Practice Acts
Each state in the U.S. has its own Chiropractic Practice Act that regulates the practice of chiropractic within that state. These acts define the scope of practice, necessary qualifications for licensure, and board powers.
Enforced by State Chiropractic Boards
Health Information Portability and Accountability Act (HIPAA)
Regulates the privacy and security of patient health information, which chiropractors must comply with when handling patient records.
Enforced by U.S. Department of Health and Human Services (HHS) Office for Civil Rights
Occupational Safety and Health Administration (OSHA) Regulations
Requires chiropractors to comply with safety standards related to employee safety and hazard communication, especially in clinical settings.
Enforced by Occupational Safety and Health Administration (OSHA)
Recommended coverage: Malpractice Insurance · General Liability Insurance · Workers' Compensation Insurance · Property Insurance
No. Under California law, a release of liability can protect you against ordinary negligence claims, but it is generally unenforceable against claims of gross negligence, recklessness, or intentional misconduct. However, it is essential for defining the scope of 'informed consent' and assumption of risk for standard chiropractic adjustments.
This release includes provisions for the movement of patient records, but must be paired with a separate HIPAA Authorization and a CCPA-compliant privacy notice if you meet the California Consumer Privacy Act's business thresholds.
If you utilize independent contractors rather than employees, California's AB5 'ABC test' is critical. Our release includes indemnification clauses that help clarify the relationship to reduce misclassification liability, though a separate Independent Contractor Agreement is also recommended.
Release of Liability
Protect your wedding planning business in California with our customizable Release of Liability. Mitigate risks from vendor issues, budget overruns, and event changes.
Release of Liability
Secure your mobile food business with California-compliant liability releases. Protect against foodborne illness claims and parking site hazards under CA Civil Code.
Release of Liability
Secure your California Notary practice with a specialized Release of Liability. Stay compliant with CA Civil Code and protect against E&O and bond claims.
Release of Liability
Create a California-compliant florist release of liability. Secure your business against allergy claims, delivery delays, and perishable goods disputes.
Power of Attorney
Create a legally compliant New York Power of Attorney tailored for chiropractors. Protect your practice, adjust clinical management, and secure business continuity.
Bill of Sale
Create a legally compliant Bill of Sale for chiropractic equipment or practice sales in Tennessee. Protect against liability and ensure TN CPA compliance.
Bill of Sale
Create a legally compliant Bill of Sale for chiropractic equipment in Illinois. Protect your practice with BIPA compliance and HIPAA-ready asset transfer documents.
Bill of Sale
Create an Ohio-specific Bill of Sale for chiropractic equipment. Compliant with Ohio Revised Code and Ohio Consumer Sales Practices Act.