ARCTIC LABS LLC.
SERVICE INFORMATION, HEALTH QUESTIONNAIRE AND RELEASE OF LIABILITY WAIVERS
COMPRESSION THERAPY SPECIFIC
Physical Capability Requirements
Participation in a NormaTec® Compression Therapy session involves exposure to vasopneumatic compression for a short period of time. Additionally, you are free to terminate the session at any time.
Contraindications
NormaTec® Compression Therapy is contraindicated for patients with:
- Current or unstable fractures/breaks
- Recent surgery and have sutures/stitches
- Open wounds, contusions, abrasions
- Suspect or known Acute deep vein thrombosis (DVT) (blood clot)
- Severe atherosclerosis (disease of the arteries)/Ischemic vascular disease (IVD)
- Severe congestive cardiac failure (CHF)
- Existing pulmonary edema (having excess fluid in the lungs)
- Existing pulmonary embolism (blood clot in the lungs)
- Extreme deformity of the limbs
- Any local skin conditions such as gangrene, untreated or infected wounds, recent skin graft, or dermatitis
- Known presence of malignancy in the legs or arms
- Limb infections, including cellulitis that have not been treated
- Presence of Lymphangiosarcoma (a rare cancer due to long-standing lymphedema of the upper/lower extremities)
In consideration of being permitted by ARCTIC LABS LLC to participate in their services for NormaTec® Compression Therapy, I understand it may aggravate a pre-existing medical condition, or could lead to injury. I am voluntarily assuming all risks of accident or injury to me (or my child) arising out of or in any way connected with the use of the services, equipment, or facilities of ARCTIC LABS LLC.
I hereby release ARCTIC LABS LLC and its staff members, officers, directors, agents, and assigns from all liability for any damage, injury, or harm, which may be caused by, a result of, or in any way associated with participation in this service of ARCTIC LABS LLC as a Guest or Member.
I acknowledge that I am at least 18 years of age and otherwise legally competent to sign this release. Minors require a parent/guardian signature.
Compression therapy is a non-invasive modality proven to increase circulation and range of motion, reduce pain and soreness, boost pressure to pain threshold and clear lactate and metabolites from the limbs after physical activity. This modality pairs compression with a sophisticated massage pattern, employing three key forms of biomimicry, including pulsing, gradients, and distal release. The pulsing action uses dynamic compression, effectively mimicking the muscle pump of the legs and arms, to greatly enhance the movement of fluid and metabolites out of the limbs. Hold pressures are used, similar to the one-way valves of veins and lymphatic vessels, to prevent fluid backflow, and enhance the natural circulatory flow. The distal release feature releases hold pressures once they are no longer needed, ensuring that each portion of the limb gains maximal rest time without a significant pause between compression cycles. Once you are set up on the devices, you will first experience a pre-inflate cycle, during which the attachments fill with air to calibrate and mold to their exact body shape. The session will then begin by compressing your feet or hands (depending on which attachment you are using). Similar to the kneading and stroking done during a massage, each segment of the attachment will first compress in a pulsing manner and then release. This will repeat for each segment of the attachment as the compression pattern works its way up the limb. This stimulates blood flow, massages the muscles, and works in harmony with the body’s circulatory system to mobilize fluid out of the extremities and back up towards the heart.
The ultimate decision to recommend treatment lies with your health care provider. Speak with your health care provider if you have further questions about compression therapy.
Infrared Sauna Use Waiver and Release of Liability
The use of infrared saunas may have many health benefits; however it is important that you fully understand how to use the sauna and gradually introduce your body to the infrared sauna therapy to produce the best results. In all situations, hydration is a requirement for sauna use. Drinking filtered water or even advanced electrolyte replacement water is recommended before and after sauna use. Please read through this information before using the sauna for the first time.
QUESTIONNAIRE
Consent to use the far infrared Sauna is conditional upon provision of accurate answers to the following questions and signing the Far-infrared Sauna Agreement. Self-treatment of any disease with an infrared sauna is not recommended without direct supervision of a certified physician. If anything listed below applies to you, please consult your physician before using an infrared sauna.
Do you smoke?
Smokers are not permitted in the sauna. The wood surface absorbs tobacco odor released from the pores of the body and will cause damage to the sauna and may cause allergic reactions to other clients.
Are you taking medications?
Individuals who are using prescription drugs should seek the advice of their personal physician or a pharmacist for possible changes in the drug’s effect when the body is exposed to infrared waves or elevated temperatures. Some medications including diuretics, barbiturates, and beta-blockers and others may impair the body’s natural heat loss mechanisms. Some over the counter drugs such as antihistamines may also cause the body to be more prone to heat stroke.
Are you pregnant?
Pregnant women should consult a physician before using the sauna because fetal damage can occur with a certain elevated body temperature.
Cardiovascular Conditions:
- Do you have unstable Angina?
- Have you had a recent Heart Attack?
- Do you have Severe Arterial Disease or any other cardiovascular conditions/ problems?
Individuals with cardiovascular conditions or problems (hypertension/hypotension), congestive heart failure, impaired coronary circulation or those who are taking medications which might affect blood pressure should exercise extreme caution when exposed to prolonged heat. Heat stress increases cardiac output and blood flow in an effort to transfer internal body heat to the outside environment via the skin (perspiration) and respiratory systems. If using a pacemaker or defibrillator, please discuss risks involved with your physician.
Do you have Diabetes with Neuropathy, Parkinson’s, MS or Lupus?
Various chronic conditions including Parkinson’s, Multiple Sclerosis, Central Nervous System Tumors, and Diabetes with Neuropathy are associated with impaired sweating. Please consult a physician before use if you have a chronic condition.
Do you have a recent joint injury?
If you have a recent joint injury, it should not be heated for the first 48 hours after injury or until the hot and swollen symptoms subside. If you have joints that are chronically hot and swollen, these joints may respond poorly to vigorous heating of any kind. Vigorous heating may be contraindicated in cases of infections.
Do you have any implants?
Metal pins, rods, artificial joints or any other surgical implants generally reflect far infrared waves and thus are not heated by this system, nevertheless you should consult your surgeon prior to using an Infrared Sauna. Certainly, the usage of an Infrared Sauna must be discontinued if you experience pain near any such implants. Silicone does absorb far infrared energy. Implanted silicone or silicone prostheses for nose or ear replacement may be warmed by the far infrared waves. Since silicone melts at over 200°C (392°F), it should not be adversely affected by the usage of an Infrared Sauna. It is still advised that you check with your surgeon and possibly a representative from the implant manufacturer to be certain.
Do you sweat?
An individual that has insensitivity to heat should not use the sauna.
Are you 18 years or older?
The core body temperature of children rises much faster than adults. This occurs due to a higher metabolic rate per body mass, limited circulatory adaptation to increased cardiac demands and the inability to regulate body temperature by sweating. Consult with the child’s Pediatrician before using the sauna. Anyone under 18 must be accompanied by an adult.
** Depending on your answers above, you may be asked to provide a doctor’s note before using the sauna for the first time.**
Additional factors to consider before using the sauna:
Alcohol — Contrary to popular belief, it is not advisable to attempt to “sweat out” a hangover. Alcohol intoxication decreases a person’s judgment; therefore it might not be realized when the body has a negative reaction to high heat. Alcohol also increases the heart rate, which may be further increased by heat in the infrared sauna.
Menstruation — Heating of the low back area of women during the menstrual period may temporarily increase their menstrual flow. Some women endure this process to gain the pain relief commonly associated with their cycle whereas others simply choose to avoid sauna use during that time of the month.
Hemophiliacs / Individuals Prone To Bleeding — The use of Infrared should be avoided by anyone who is predisposed to bleeding.
Fever — An individual that has a fever should not use the sauna.
Elderly — The ability to maintain core body temperature decreases with age. This is primarily due to circulatory conditions and decreased sweat gland function. The body must be able to activate its natural cooling processes in order to maintain core body temperature.
** In the rare event that you experience dizziness, pain and/or discomfort, immediately discontinue sauna use.**
AGREEMENT, WAIVER, AND RELEASE OF LIABILITY
- 1.Smokers are not permitted in the sauna. The wood surface absorbs tobacco odor released from the pores of the body and will cause damage to the sauna and may cause allergic reactions to other clients.
- 2.The use of drugs, medication or alcohol prior to or during the sauna session may lead to dizziness or unconsciousness.
- 3.Please consult your physician if you are in doubt of your ability to use the infrared Sauna for health reasons.
- 4.No clients under the age of 18 are permitted in the Far-infrared Sauna unless accompanied by a supervising adult.
- 5.Please discontinue the use of the sauna if you feel light-headed, dizzy or heat exhausted.
- 6.Sauna sessions should be limited to a maximum of 40 minutes and temperatures must stay below 170° F.
- 7.It is advisable to drink plenty of water before and after sauna session. Water bottles are not permitted in the sauna. It is advised not to eat at least one to two hours prior to your sauna session to avoid any ill feelings.
- 8.Clients using any medications must consult a physician or pharmacist prior to the use of the sauna.
- 9.Pregnant women should consult their physician prior to the use of the sauna. Excessive body temperatures have a potential for causing fetal damage during the early days of pregnancy.
- 10.Do not use any chemicals or lotions prior to your sauna session. These items may block pores and affect perspiration as well as stain the wood of the sauna.
It is not advisable to use an infrared sauna under certain medical conditions and it is recommended that you consult a physician before use or if questions/concerns arise. It is solely your responsibility to monitor your body/reactions and determine if it is appropriate to use the infrared sauna. You alone are responsible for your safety and well-being.
I acknowledge and accept the risks inherent in the use of the infrared Sauna. I voluntarily assume the risk of injury, accident or death, which may arise from the use of the infrared Sauna. I and any of my heirs, executors, representatives or assigns hereby release from all claims or liabilities for personal injury or property damages of any kind sustained while on the premises, during the use of the far-infrared Sauna and from any advice provided by an employee, independent contractor or any representative of ARCTIC LABS LLC. I agree that it is my personal responsibility to consult with my Doctor regarding my participation.
CRYO/COLD PLUNGE SPECIFIC
Physical Capability Requirements
Participation in a Whole Body Cryotherapy (WBC) session involves exposure to extreme cold temperature for a short period of time (not to exceed three and one-half (3:30) minutes per session) and up to ten minutes maximum for experienced cold immersion individuals. Additionally, you are free to walk out of the tub at any time. The cold therapy session is followed by a five (5) to ten (10) minute period of light to moderate movement, stretching, or exercise.
Contraindications continued:
Do not use Whole Body Cryotherapy if you have any of the following conditions:
- Uncontrolled high blood pressure
- Cold Allergy
- Prior heart attack
- Open sores
- Unstable chest pain
- Nerve pain in feet or legs
- Disease of blood vessels
- Pregnancy
- History of blood clots
You may have other conditions that make whole body cryotherapy inappropriate. Consult with your doctor or medical advisor if you have questions as to whether whole body cryotherapy is right for you. BY ACCEPTING THIS AGREEMENT YOU CONFIRM TO [ARCTIC LABS LLC] (THE "COMPANY") FOR THE BENEFIT OF THE RELEASED PARTIES (AS LATER DEFINED) THAT YOU HAVE CAREFULLY READ BOTH PAGES OF THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS, VOLUNTARILY AGREE TO EACH OF ITS TERMS AND PROVISIONS, AND SIGN OF YOUR OWN FREE WILL.
Agreements:
- Follow all instructions given to you by the attendant. Do not use whole body cryotherapy without an attendant present.
- Participation in a whole body cryotherapy session involves exposure to extreme cold temperature for a short period of time. By signing this Agreement you confirm that you are in good health and do not have any of the contraindications identified above or other physical condition that would preclude you from safely using whole body cryotherapy.
- If you experience any pain or mental or physical discomfort at any time during the process, you may terminate the session immediately. The tub will not be closed, and you are free to walk out of the tub at any time. You agree that you have familiarized yourself with this exit process and are prepared to do so if or when you feel it is necessary.
- No representations or claims are made as to the therapeutic nature or other benefits of whole body cryotherapy. Whole body cryotherapy is not intended to diagnose, treat, cure or prevent diseases, illnesses, imbalances or disorders. No results from whole body cryotherapy are assured. Every customer is different and responds differently to the therapy.
Waiver and Release:
- This is a release of liability and a waiver of certain legal rights.
- By signing this Agreement you:
- acknowledge that use of whole body cryotherapy involves risk of bodily injury, illness, disability or death, which may be compounded by negligent emergency response of the attendant in which the equipment is operated. You acknowledge that you are voluntarily participating in whole body cryotherapy with knowledge of the dangers involved and accept and assume all risks of injury, illness, disability or death, whether caused by the condition of the facilities or equipment or the negligence of the attendant or otherwise. You acknowledge that frostbite is a specific risk that you assume.
- expressly waive and release any and all claims against Company, ARCTIC LABS LLC, and their respective officers, directors, employees, agents, affiliates, successors and assigns (which are collectively referred to as “the Released Parties”), arising out of or attributable to your use of whole body cryotherapy. You covenant not to assert any such claims against the Released Parties, and forever release and discharge the Released Parties from liability for such claims.
- indemnify and hold harmless the Released Parties from any loss, liability, damage, cost or expense arising out of or connected in any manner with your use of whole body cryotherapy.
- agree that this waiver and release is intended to be as broad and inclusive as permitted under law. You specifically acknowledge and agree that this Agreement is not intended to be a general release subject to limitations and conditions that would otherwise apply under applicable state law and additionally agree to waive all general release limitations provided by applicable law.
General Provisions:
- This Agreement shall be construed and interpreted as broadly as possible under the applicable law of the jurisdiction in which you use whole body cryotherapy, with the words, terms, provisions, covenants, and remedies contained in this Agreement to be enforceable to the fullest extent permitted by applicable law.
- If any portion of this Agreement is held invalid, the remainder shall not be affected and shall continue in full legal force and effect.
- The terms of this Agreement shall continue from this date forever and shall apply to each use by you of whole body cryotherapy without the need for you to re-execute this Agreement.
- This document constitutes the entire agreement regarding your use of whole body cryotherapy and any product, services or equipment connected with the Released Parties and supersedes all prior discussions, agreements and representations about the use, benefits or risks of whole body cryotherapy. This Agreement may only be modified in a writing signed by you and an authorized representative of the Company.
Massage Therapy Consent Form and Waiver of Liability
I understand that the massage treatment(s) that I receive is/are provided for the purpose of relaxation, relief of stress, muscular tension, pain, and to aid the body with its natural healing process. A massage therapist works soft tissue and may integrate gentle range of motion exercises to the joints but will not administer spinal manipulations. If I experience any pain or discomfort during the treatment I will immediately inform the therapist so that she can adjust her techniques and pressure to within my level of comfort. I am also informed that I have the right to stop massage treatment at any time. I further understand that massage is not a substitute for medical examinations or diagnosis and so I should seek a physician or other health professional should I need aid with mental if physical ailments. I agree that all of the information that I have provided in my health history form is accurate. I acknowledge that to ensure appropriate treatment it is of upmost importance to inform my massage therapist of any old, current, or new injuries as well as inform them of any changes in my health status, or and concerns I may have. I am aware that on rare occasion massage therapy may cause delayed onset muscle soreness. If it should happen it should go away within 24-48 hours. I have been informed that the massage therapist has to meet standards and principals enforced by the Massage Therapy Act & Regulated Health Professionals Act and may at any time refer a client elsewhere if she feels that her client would benefit from alternatives to massage therapy or have greater potential of succeeding health wise with an alternative practitioner. Lastly, I have been informed and/or I am aware of the method of payment, the fee of the massage therapy treatment as well as the cancellation policy. We require a 24 hour notice of cancellation, otherwise the fee for the full appointment booked will apply. If you understand everything above and give consent for treatment please sign and date below.
FLOAT TANK/SENSORY DEPRIVATION SPECIFIC
Floatation therapy provides a deep state of relaxation that stimulates blood flow through all of the body’s tissues, reduces stress hormone levels and releases natural endorphins. To ensure a comfortable, clean and safe floatation experience, I agree to the following (Please initial below if you agree to the following statements):
I agree to the following:
- All float tanks are in wet areas and I will take extra precautions for my own safety. I assume any and all liability due to injury and/or damage resulting from any slip and fall incident.
- I am physically capable of getting in and out of the float tanks on my own. This requires enough upper body strength to pull myself up from a sitting position to a standing position. If unable, I agree that I will arrive with a certified aid to help me in and out of my session.
- If this is my first time floating, or if I require a refresher orientation, I will arrive 15 minutes prior to my appointment time. Otherwise, I will arrive 10 minutes prior to my scheduled float session.
- I will turn off all of my electronic devices before entering the float room. I agree to be as respectfully quiet as possible while indoors at Arctic Labs.
- I agree to shower with soap and shampoo thoroughly before each of my flat sessions to completely remove all dirt and oils from my body.
- I am aware that keratin hair treatments can be affected by any salt water, especially the highly saline water in a float tank.
- I agree that any cologne, perfume, make-up or creams will be fully removed from my body prior to entering the float tanks.
- I agree that, if I smoke, I will refrain from doing so at least 45 minutes prior to entering the float center to avoid bringing the odor of smoke into the tanks.
- If pregnant, I have consulted with, and secured written permission from my physician to use the floatation tank.
- I understand that, in order to keep other customers from waiting, my showering times should be limited to no more than 7 minutes each.
- I do not have any communicable or infectious disease, illness, or skin disorders.
- I do not suffer from incontinence.
- If I suffer from uncontrolled seizures or epilepsy, I have medical authorization to float.
- I do not have a condition nor am I on any medication which may have adverse effects due to immersion in the concentrated magnesium sulfate (epsom salt) water solution.
- I understand that floating may lower blood pressure, I have medical authorization to float.
- I understand that if I suffer from vertigo when lying down, the same could occur during a float session.
- If I have chronic heart or kidney disease, I have medical authorization to float.
- If I am diabetic with insulin dependency, I have medical authorization to float.
- I am not under the influence of any medication, drug or alcohol.
If it is found that any of the preceding conditions were agreed to untruthfully and/or were not adhered to, Arctic Labs reserves the right to cancel an appointment without refund or to ask a guest to reschedule.
Hair Dye and Contamination of the Float Tank Solution
Hair dye has been shown to cause many incidents of float tank solution discoloration. The leeching of the dye out of the hair can permanently stain the float tank interior, stain our towels and can be almost impossible to remove from the solution without a full replacement of the water and salt. If you dye your hair, please make sure the dye is fully set (usually about 10 days).
Violation of any of the rules above resulting in contamination of the float tank solution (including but not limited to dyes, oils or any bodily fluids/ excrement) will result in a cleaning, loss of business and/or salt replacement fee of $1,500.
Minors Policy
Participants between the ages of 14-17 must have a patent or guardian sign the waiver on their behalf. In addition, the parent or guardian must be on Arctic Labs premises for the duration of the minor’s float session.
Participants under the age of 14 must have a parent or guardian sign the waiver on their behalf. In addition, the parent or guardian must remain in the float room (not in the float tank itself) for the duration of the minor’s float session.
EWOT (exercise with oxygen therapy)
EWOT is the act of breathing higher concentrations of oxygen during exercise. In the past, simple masks and nasal cannulas connected directly to an oxygen generator were the best methods for supplying users with purer oxygen. However, oxygen generators only produce 10 liters per minute (LPM) at maximum. A healthy adult can easily breathe 60-70+ LPM while exercising. As a result, the old systems blended the 93% pure oxygen from the generator with air from the general environment, degrading the purity and limiting returns.
This problem is solved with HyperMax Oxygen. HyperMax Oxygen uses an oxygen generator to fill a medical grade oxygen reservoir that holds 900 liters of oxygen; a high-flow mask is attached to that oxygen supply. With the mask on, users can breathe in 93% oxygen with NO impurities from room air. HyperMax is the Maxx O2 redesigned and made by the same company since 2017. The valve system ensures that users only inhale oxygen from the generated supply. As they exhale, CO2 is vented through the appropriate port and into the room.
Acknowledgment of Risks and Contraindications:
I, the undersigned, understand that participation in Exercise with Oxygen Therapy (EWOT) at ARCTIC LABS involves certain risks and potential benefits. I acknowledge that these risks may include, but are not limited to:
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Physical exertion and strenuous exercise.
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Potential physical discomfort, including but not limited to muscle soreness, fatigue, and shortness of breath.
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Possible exposure to oxygen therapy, which may have side effects or health implications.
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Injuries, including but not limited to sprains, strains, and musculoskeletal injuries.
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Allergic reactions or adverse health effects related to the therapy equipment or oxygen.
Contraindications:
I understand that EWOT may not be suitable for individuals with certain medical conditions or who meet specific criteria. These contraindications may include, but are not limited to:
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Pregnancy: EWOT is not recommended for pregnant individuals due to potential risks to both the mother and the unborn child.
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Uncontrolled High Blood Pressure: Individuals with uncontrolled hypertension or high blood pressure should not participate in EWOT.
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Severe Respiratory Conditions: Participants with severe respiratory conditions such as chronic obstructive pulmonary disease (COPD) or acute respiratory infections should not engage in EWOT.
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Claustrophobia: Participants who experience severe claustrophobia or anxiety in enclosed spaces should not participate.
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Heart Conditions: Individuals with certain heart conditions, including recent heart attacks, unstable angina, or uncontrolled arrhythmias, may be contraindicated.
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Oxygen Sensitivity or Allergies: Participants with known allergies or sensitivities to oxygen or related equipment should not participate.
Release of Liability:
In consideration for being permitted to participate in EWOT at ARCTIC LABS, I, on behalf of myself and my heirs, executors, administrators, and assigns, hereby release, discharge, and hold harmless ARCTIC LABS, its owners, employees, instructors, and representatives from any and all claims, demands, actions, or causes of action, whether in law or in equity, arising out of any personal injury, illness, property damage, or wrongful death resulting from my participation in EWOT.
Assumption of Risks:
I acknowledge that I am participating in EWOT voluntarily and that I am aware of the potential risks involved. I assume full responsibility for any injuries, illnesses, or damages that may occur as a result of my participation in EWOT.
Medical Clearance:
I understand that ARCTIC LABS recommends that participants consult with a qualified healthcare professional before beginning any exercise program, including EWOT. I affirm that I have sought such advice and that I am in suitable physical condition to participate in EWOT.
Emergency Contact:
In case of emergency, ARCTIC LABS is authorized to seek medical treatment on my behalf. I will be responsible for any medical expenses incurred.
Photographic and Video Consent:
I grant ARCTIC LABS permission to use photographs and videos taken during my participation for promotional and marketing purposes.
PEMF (pulsed electromagnetic field) Therapy:
Acknowledgment of Risks and Contraindications:
I, the undersigned, understand that participation in Pulsed Electromagnetic Field (PEMF) therapy at ARCTIC LABS involves certain risks and potential benefits. I acknowledge that these risks may include, but are not limited to:
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Exposure to electromagnetic fields during the therapy session.
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Possible discomfort or side effects, including muscle twitching, tingling, or other sensations.
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Allergic reactions or adverse health effects related to the therapy equipment.
Contraindications:
I understand that PEMF therapy may not be suitable for individuals with certain medical conditions or who meet specific criteria. These contraindications may include, but are not limited to:
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Pregnancy: PEMF therapy is not recommended for pregnant individuals due to potential risks to both the mother and the unborn child.
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Epilepsy or Seizure Disorders: Individuals with a history of epilepsy or seizure disorders should not participate in PEMF therapy.
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Implantable Medical Devices: Participants with implantable medical devices such as pacemakers, cochlear implants, or intrathecal pumps should not use PEMF therapy without consulting their healthcare provider.
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Organ Transplants: Individuals who have received organ transplants may be contraindicated for PEMF therapy.
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Recent Surgery: Participants who have undergone recent surgery may need to consult their surgeon or healthcare provider before participating in PEMF therapy.
Release of Liability:
In consideration for being permitted to participate in PEMF therapy at ARCTIC LABS, I, on behalf of myself and my heirs, executors, administrators, and assigns, hereby release, discharge, and hold harmless ARCTIC LABS, its owners, employees, and representatives from any and all claims, demands, actions, or causes of action, whether in law or in equity, arising out of any personal injury, illness, property damage, or wrongful death resulting from my participation in PEMF therapy.
Assumption of Risks:
I acknowledge that I am participating in PEMF therapy voluntarily and that I am aware of the potential risks involved. I assume full responsibility for any injuries, illnesses, or damages that may occur as a result of my participation in PEMF therapy.
Medical Clearance:
I understand that ARCTIC LABS recommends that participants consult with a qualified healthcare professional before undergoing PEMF therapy, especially if they have any underlying medical conditions. I affirm that I have sought such advice and that I am in suitable physical condition to participate in PEMF therapy.
Emergency Contact:
In case of emergency, ARCTIC LABS is authorized to seek medical treatment on my behalf. I will be responsible for any medical expenses incurred.
Photographic and Video Consent:
I grant ARCTIC LABS permission to use photographs and videos taken during my participation in PEMF therapy for promotional and marketing purposes.
FOR IV INFUSIONS AND WELLNESS SHOTS
ARCTIC LABS LLC
1. Introduction
I, the undersigned, hereby acknowledge and agree to the following terms and conditions set forth in this Waiver and Release of Liability (the "Agreement"). This Agreement pertains to all IV infusions and wellness shots provided by Arctic Labs LLC, including but not limited to vitamins, minerals, stem cells, exosomes, and other substances mixed into saline solutions.
2. Consent to Treatment
I voluntarily consent to receive IV infusions and wellness shots (the "Treatments") from Arctic Labs LLC. I understand that these Treatments involve the administration of vitamins, minerals, stem cells, exosomes, and other substances via intravenous infusion or intramuscular injection.
3. Acknowledgement of Potential Risks
I acknowledge that the Treatments may involve certain risks, including but not limited to:
- Infection at the injection or infusion site
- Allergic reactions to the substances administered
- Bruising, swelling, or pain at the injection or infusion site
- Phlebitis (inflammation of the veins)
- Fluid overload
- Electrolyte imbalances
- Complications related to pre-existing medical conditions
4. Contraindications
I acknowledge that I do not have any of the following contraindications that would prevent me from safely receiving the Treatments:
- Known allergies to any of the substances used in the Treatments
- Severe cardiovascular conditions, including but not limited to congestive heart failure and severe arterial disease
- Kidney disease or impairment
- Liver disease or impairment
- Acute or chronic infections
- Blood disorders such as hemophilia or clotting disorders
- Pregnancy or breastfeeding
- Uncontrolled hypertension
- Unstable angina or recent heart attack
- Respiratory conditions such as chronic obstructive pulmonary disease (COPD) or pulmonary embolism
- History of seizures or seizure disorders
5. Release of Liability
In consideration of receiving the Treatments, I hereby release, waive, and discharge Arctic Labs LLC, its owners, officers, employees, and agents (collectively, the "Releasees") from any and all liability, claims, demands, actions, or causes of action whatsoever arising out of or related to any loss, damage, or injury, including death, that may be sustained by me, or to any property belonging to me, whether caused by the negligence of the Releasees or otherwise, while participating in the Treatments or in any activities related to the Treatments.
6. Indemnification
I agree to indemnify and hold harmless the Releasees from any loss, liability, damage, or costs, including court costs and attorneys' fees, that they may incur due to my participation in the Treatments, whether caused by the negligence of the Releasees or otherwise.
7. Medical Evaluation
I understand that it is my responsibility to consult with a healthcare professional before receiving the Treatments to ensure that I do not have any medical conditions or contraindications that would make the Treatments inappropriate or unsafe for me.
8. Voluntary Participation
I acknowledge that I am voluntarily participating in the Treatments and that I am under no obligation to receive any of the Treatments offered by Arctic Labs LLC. I understand that I may discontinue the Treatments at any time.
9. Governing Law
This Agreement shall be governed by and construed in accordance with the laws of the state in which Arctic Labs LLC operates.
10. Severability
If any provision of this Agreement is found to be invalid or unenforceable, the remaining provisions shall continue to be valid and enforceable.
11. Acknowledgment of Understanding
I have read this Agreement, fully understand its terms, and understand that I am giving up substantial rights, including my right to sue the Releasees. I acknowledge that I am signing this Agreement freely and voluntarily, and intend by my signature to provide a complete and unconditional release of all liability to the greatest extent allowed by law.
I have read and understood this Health Waiver and Release of Liability Form, including the contraindications, and agree to its terms and conditions.
FITNESS CENTER
In consideration of being allowed to participate in the activities and programs of the Fitness Center located within Arctic Labs, I, the undersigned, hereby acknowledge and agree to the following:
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Assumption of Risk: I understand that the use of the Fitness Center facilities involves inherent risks, including but not limited to, the risk of injury, illness, or death, due to equipment malfunction, improper use of equipment, slips, falls, and other accidents or incidents.
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Physical Condition: I represent and warrant that I am physically fit and have no medical condition that would prevent my full participation in the activities offered by the Fitness Center. I agree to inform the staff of any physical limitations or medical conditions that may affect my ability to safely use the facilities.
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Release of Liability: I hereby release, discharge, and hold harmless Arctic Labs, its owners, officers, directors, employees, agents, and affiliates from any and all claims, liabilities, damages, actions, or causes of action arising out of or related to my use of the Fitness Center facilities, including but not limited to, personal injury, property damage, or loss, whether caused by negligence or otherwise.
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Indemnification: I agree to indemnify and hold harmless Arctic Labs, its owners, officers, directors, employees, agents, and affiliates from any and all claims, liabilities, damages, expenses, or costs (including attorney fees) arising out of or resulting from any actions or treatments participated in at ARCTIC LABS.
This form is a tool to help your clinician determine if you are a candidate for participation at ARCTIC LABS. Please review and sign below if all are true statements.
I do not have any open wounds, contusions, or abrasions.
I am not recovering from a recent surgery and do not have sutures or stitches.
I am not suffering from severe atherosclerosis, acute deep vein thrombosis, or other ischemic vascular diseases.
I am not suffering from congestive cardiac failure.
I do not have an existing pulmonary embolism or pulmonary edema.
I do not have a local skin condition such as gangrene, untreated or infected wounds, recent skin graft, or dermatitis.
I have not been diagnosed with lymphangiosarcoma.
I do not smoke.
I am not taking any medications.
I am not pregnant.
I have read and agree to all statements above.
Cardiovascular Conditions:
- I do not have unstable angina.
- I have not had a recent heart attack (within the last 6 months).
- I do not have severe arterial disease or any other cardiovascular conditions/problems.
I do not have diabetes with neuropathy, Parkinson’s, multiple sclerosis, or lupus.
I do not have a recent joint injury.
I do not have any implants (electronic).
I sweat normally.
I am 18 years or older.
I have not had a heart attack within the previous six months.
I do not have a pacemaker.
I have not had a heart bypass or valvular disease within the previous six months.
I do not have congestive heart failure.
I do not have chronic obstructive pulmonary disease (COPD).
I do not have an intrathecal pain pump or any electrostimulation implant device (e.g., spinal stimulator implant).
I do not have any chronic or acute kidney conditions.
I am not pregnant.
I have read and agree to all statements above.
Relative Contraindications:
I do not have a history of seizure disorders.
I do not have cold allergies with known skin reactions to cold.
I do not have any blood disorders (such as hemophilia or blood clots).
I do not have any major circulatory dysfunction (such as deep vein thrombosis).
I have read and agree to all statements above.
Other Risk Factors:
I do not have any open wounds, sores, or healing disorders.
I am not under the influence of drugs or alcohol.
I have read and agree to all statements above.
** Depending on your answers above, you may be asked to provide a doctor’s note before using the sauna for the first time.**
This waiver and release of liability form is designed to protect Arctic Labs LLC and its employees from legal claims. By signing this form, the client acknowledges the potential risks involved and agrees to release Arctic Labs LLC from any liability.
I have read this Agreement, fully understand its terms, and understand that I