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IV Therapy Consent Form
The IV Therapy Consent Form ensures clients understand the risks and benefits of IV Therapy, enrolls them in a membership, and collects feedback post-treatment. This legally binding agreement protects both client and provider, detailing treatment terms and recurring payments.
The IV Therapy Consent Form ensures clients understand the risks and benefits of IV Therapy, enrolls them in a membership, and collects feedback post-treatment. This legally binding agreement protects both client and provider, detailing treatment terms and recurring payments.
Frequently Asked Questions
What is a IV Therapy Consent Form waiver form?
The IV Therapy Consent Form is a document that secures client consent for receiving IV Therapy treatments and outlines membership terms.
Why do I need a IV Therapy Consent Form waiver form?
This form is necessary to ensure clients are informed about the procedure, protect the service provider legally, and establish a membership agreement.
How can I customize this waiver template for my business?
Customizing this waiver template is quick and simple through our user-friendly editor. You can edit any text content, add or remove clauses, insert your business logo, add custom fields to collect specific information, include additional signature fields, and modify the layout to match your business needs. All changes are automatically saved to your account for immediate use.
Is this undefined waiver template free to use?
Yes, all our waiver templates are free to use for all WaiverForever users . WaiverForever gives you full access to our complete template library with unlimited customization options, secure digital storage, electronic signature capabilities, mobile app access, and customer management features. We also offer a generous free plan to help businesses get started, allowing you to explore our platform and templates before committing to a paid subscription.
IV Therapy Consent and Membership AgreementThis IV Therapy Consent Form serves multiple purposes: to collect feedback on your satisfaction following the treatment, to enroll you into a recurring membership or subscription for ongoing IV Therapy services, and to outline the legally binding terms and conditions governing the provision of these services between you (the client) and the healthcare provider.It is essential that you read this entire document carefully before providing consent and signing. This form protects both parties and ensures a mutual understanding of the risks, benefits, and obligations involved.
Full Legal Name
Date of Birth
Residential Address
Contact Phone Number
Email Address
Consent to IV Therapy TreatmentI hereby voluntarily consent to receive IV Therapy treatments administered by qualified healthcare professionals employed or contracted by the provider. I acknowledge that the practice of IV Therapy involves the insertion of needles and the infusion of vitamins, minerals, and other substances directly into my bloodstream. I understand the potential risks may include, but are not limited to, bruising, infection, vein irritation, allergic reactions, or other adverse effects.I acknowledge that the provider has explained the nature, purpose, benefits, and risks associated with IV Therapy and that I have had the opportunity to ask questions. I understand that no guarantees or promises have been made regarding the outcomes.
Acknowledgement of Risks and Consent to Treatment
Satisfaction Level After First Treatment
Membership Enrollment and Recurring PaymentsI agree to enroll in the recurring membership/subscription program for IV Therapy services. This membership includes regular treatments at intervals selected by me and agreed upon with the provider.I understand that my membership will automatically renew unless I provide written notice to cancel at least 30 days before the next billing cycle. I authorize the provider to charge my credit card or bank account on file for the agreed-upon membership fees.I understand that refunds may not be provided for unused sessions under this membership unless required by law.
Agreement to Membership Terms and Recurring Payments
Release and Waiver of LiabilityTo the fullest extent permitted by law, I hereby waive, release, and discharge the provider, its employees, agents, and contractors from any and all liability for any injury, loss, or damage to person or property arising out of or in connection with the IV Therapy treatment or membership program.I understand that this waiver includes claims based on negligence, breach of contract, or any other legal theory.
Initials for Consent and Release
Signature of Client
Date of Signature
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