Red Light Therapy Waiver
Westchase Wellness and Recovery is part of the long established and highly respected Westchase Physical Therapy company. Westchase Physical Therapy is a family owned and operated health care company that has been proudly serving Tampa Bay since 2007.
Red Light Therapy Wavier
Client Waiver for Red Light Therapy
I, the undersigned, hereby acknowledge and understand that I am voluntarily participating in Red Light Therapy sessions provided by Westchase Physical Therapy & Wellness, located at 12705 Race Track Road, Tampa, FL 33626. I understand that Red Light Therapy involves exposure to low levels of red or near-infrared light and is intended for the purpose of promoting relaxation, skin health, pain relief, and overall well-being.
I acknowledge and accept the following terms and conditions:
- Voluntary Participation: I am participating in Red Light Therapy sessions voluntarily and understand that the therapy may have potential benefits, but individual results may vary.
- Health Assessment: I have disclosed any relevant medical conditions, allergies, medications, or other health-related information to the best of my knowledge. I understand that it is my responsibility to inform the staff of any changes to my health status.
- No Medical Diagnosis or Treatment: I acknowledge that Red Light Therapy is not a medical treatment or diagnosis and is not intended to replace professional medical advice or treatment. I understand that I should consult with a qualified healthcare provider before beginning any new health regimen.
- Risks and Side Effects: I am aware that, like any wellness activity, Red Light Therapy may have associated risks and potential side effects. These may include, but are not limited to, skin sensitivity, heat sensitivity, and potential allergic reactions.
- Release of Liability: I hereby release and discharge Westchase Physical Therapy and its owners, employees, and affiliates from any claims, liabilities, damages, or injuries arising out of or related to my participation in Red Light Therapy sessions.
- Consent to Treatment: I understand the nature of Red Light Therapy and consent to its use as part of my wellness regimen. I will follow the instructions provided by the staff and will communicate any discomfort or concerns promptly.
- Minors: If I am a parent or legal guardian of a minor who will be participating in Red Light Therapy, I hereby give my consent for the minor to receive the treatment.
- Governing Law: This waiver and release shall be governed by and construed in accordance with the laws of the State of Florida.
By signing below, I acknowledge that I have read and understood the terms and conditions of this Client Waiver for Red Light Therapy. I agree to abide by these terms and voluntarily assume any risks associated with my participation.
Cancellation and No-Show Policy: Cancellations must be made 24 hours before the time of service to avoid a fee equivalent to the cost of the service being charged. If you have purchased a package you will lose that session if you cancel within 24 hrs.
Clients who No-Show will be charged the cost of the service. If you have purchased a package you will lose that session.
I have read the above waiver and give consent to receive services, including, but not limited to, whole-body cryotherapy, at Westchase Physical Therapy & Wellness. I have read the contraindications and do not have a disqualifying medical condition. I understand that it is my responsibility to discuss my medical condition(s), if any, with a medical professional before having services at Westchase Physical Therapy & Wellness.