Infrared Sauna Release Form

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INFRARED SAUNA RELEASE

Please take a moment to carefully read the following information and sign where indicated. If you have a specific medical condition or specific symptoms, InfraRed Sauna may be contraindicated.

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    I hereby declare I DO NOT have any of the below conditions:

    Pacemakers/Defibrillators – The magnets used to assemble infrared saunas can interrupt the pacing and inhibit the output of pacemakers.

    Medications – Diuretics, barbiturates and beta‐blockers may impair the body’s natural heat loss mechanisms. Anticholinergics such as amitryptaline may inhibit sweating and can predispose individuals to heat rash or to a lesser extent heat stroke. Some over‐the‐counter drugs, such as antihistamines, may also cause the body to be more prone to heat stroke.

    Pregnancy/Breast Feeding – Pregnant women should consult a physician before using an infrared sauna. A doctor’s consent is required. If breast feeding, do not use the infrared sauna. A detoxification process will produce the expelled toxins into your breast milk.

    Menstruation – Heating of the low back area of women during the menstrual period may temporarily increase their menstrual flow.

    Elderly – The body must be able to activate its natural cooling processes in order to maintain core body temperature. As we mature, our bodies naturally lose this capability. Guests over the age of 70 will be permitted for infrared sauna use, however, at a lower temperature.

    Cardiovascular Conditions – Individuals with cardiovascular conditions or problems (hypertension/hypo tension), congestive heart failure, impaired coronary circulation or those who are taking medications which might affect blood pressure should exercise 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 system. This takes place primarily due to major changes in the heart rate, which has the potential to increase by thirty (30) beats per minute for each degree increase in core body temperature.

    Alcohol/Alcohol Abuse – Contrary to popular believe, it is not advisable to attempt to “sweat out” a hangover. Alcohol intoxication decreases a person’s judgment; therefore, he/she may not realize when the body has a negative reaction to high heat. Alcohol also increases the heart rate, which may be further increased by heat stress. Guests who appear intoxicated or inform us of alcohol consumption prior to use of the sauna will forfeit their scheduled appointment and no refund or credit will be issued.

    Chronic Conditions/Diseases Associated With Reduced Ability to Sweat or Perspire – Multiple Sclerosis, Central Nervous System Tumors and Diabetes with Neuropathy are conditions that are associated with impaired sweating.

    Hemophiliacs/Individuals Prone to Bleeding – The use of infrared saunas should be avoided by anyone who is predisposed to bleeding.

    Fever – An individual who has a fever should not use an infrared sauna until the fever subsides.

    Insensitivity to Heat – An individual with insensitivity to heat should not use an infrared sauna.

    Joint Injury – If you have a recent (acute) joint injury, it should not be heated for the first 48 hours after an injury or until the swollen symptoms subside. If you have a joint or joints that are chronically hot and swollen, these joints may respond poorly to vigorous heating of any kind.

    Implants – Metal pins, rods, artificial joints or any other surgical implants generally reflect infrared waves and thus are not heated by this system. Nevertheless, you should consult your physician prior to using an infrared sauna.

    If believe you have any of these above conditions, it is not recommended that you use the infrared sauna at this time. We suggest that you consult your Primary Health Care Physician to obtain a release form before proceeding with infrared sauna therapy.

    I have read the above information and have given account of the questions. If I have any concerns, I will address these with my provider before the service and inform them of any changes in the above information. I have been informed of and understand the contraindications to the request treatment unsuitable. I will inform the provider of any discomfort I may experience ay any time during my treatment to allow them to adjust accordingly. I understand that the services offered are not suitable for medical care and any information provided by the provider is for educational purposes only and not diagnostically perspectivein nature. I give permission to my provider to perform the service and will not hold the provider nor MRVL Spa accountable for any liability that may result from this treatment. I understand that the information herein is to aid the provider in giving better service and is completely confidential.

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