Hot Bamboo Waiver

This treatment is not recommended if you have any of the following below. By checking and signing, you are choosing to enter at your own risk, and the therapist is not responsible for any adverse effects of treatment.

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Please click all that may apply.

A condition where you have loss of sensation (i.e. neuropathy, recent trauma, etc.)

Pregnancy

Any acute skin condition (i.e. Psoriasis, eczema, skin cancer, burns, shingles, etc.)

Under the treatment of chemotherapy or radiation

Compromised immune system (i.e. Edema, Lupus, Epstein Barr, Mono, Herpes, Cancer, etc.)

Heart disease

Other (High blood pressure, fibromyalgia, diabetes, post-surgery of 2 months or less, etc.)

When in doubt - consult your family physician.

If I have any questions, I will reach out to the therapist before treatment. I indend for this consent to last for all future Hot Bamboo treatments, until I formally withdrawl my consent, which I can do at any time.

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Hot Bamboo Waiver

Wellness
Tips & More

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Hot Bamboo Waiver

Wellness Tips & More

Contact

Wellness
Tips & More