
Patient Information
Informed Consent for Treatment
I acknowledge that I have read and fully understand the information provided regarding the risks and benefits of injection therapy. I have been given the opportunity to ask questions and have received satisfactory answers.
I understand that the potential risks and complications of injection therapy include, but are not limited to, minor bruising, bleeding at the injection site, dizziness, headaches, and infection. I acknowledge that there is a possibility of sensitivity or allergic reaction to the vitamin solutions.
By signing this consent, I voluntarily assume all risks associated with vitamin supplementation and release Bodyshop Wellness, the physical location where I am receiving treatment, and all staff members administering the injections from any and all liability, claims, or damages arising from or related to this treatment.
I further understand and agree that this treatment is not intended to diagnose, treat, cure, or prevent any disease or medical condition. I acknowledge that Bodyshop Wellness does not provide medical treatment, medical advice, or physician consultations during this visit.
By proceeding with treatment, I confirm that I have made an informed decision and agree to the terms outlined in this consent.