• SAUNA Client Intake Form

    All information is held in strictest confidence. At no given point is information disclosed or shared without client’s consent. You may choose to skip answering any question you feel impinges on personal information you do not wish to disclose.

  • PRECAUTIONS

    Drink plenty of water before, during and after your session.  An electrolyte drink is recommended (coconut water, electrolyte powder, etc)

    If any of the items listed below apply to you, be certain to consult with your physician before using the FIR sauna:

  • Medications

    Exposure to infrared waves or elevated body temperature can possibly change the effect of prescription drugs.  Additionally, some over-the-counter drugs, such as antihistamines, may also cause the body to be more prone to heat stroke.  Some medications may lead to dizziness.  Check with your personal physician or pharmacist before using the sauna. 

    Lotions/Chemicals

    Do not use chemicals or lotions prior to your session.  These items may block pores and affect perspiration.

    Fever/Pregnancy/Menstruation

    Individuals who have a fever should not use the sauna until fever subsides.  Pregnant women should consult their physician before using an infrared sauna.  Heating of the low back area of women during the menstrual cycle may temporarily increase their menstrual flow.

    Alcohol

    Contrary to popular belief, 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.

    Cardiovascular Conditions/Chronic Conditions

    Heat stress increases cardiac output and blood flow in an effort to transfer internal body heat outside via the skin (perspiration) and respiratory system.  Those with cardiovascular conditions should take caution when using the sauna.  Multiple Sclerosis, Central Nervous System Tumors and Diabetes with Neuropathy are conditions that are associated with impaired sweating.

    Individuals with a history or heart disease, high blood pressure, obesity or diabetes should have their blood pressure monitored before and after each session.

     Implants/Artificial Joints

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

     Joint Injury

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

    *If at any time during your session you feel dizzy or light headed, get out of the sauna and inform spa personnel immediately. 

     I have carefully read the above precautions for using the Far Infrared Sauna and Detox wrap.  I fully understand and assume the risks associated with these sessions and fully agree to comply with these instructions.  I further agree to not hold Bloom Wellness LLC or any spa employee responsible from personal or property injury which may result from these sessions.  This agreement is in effect for all Far Infrared sessions and will not expire unless requested by either party.

     

    Precautionary Coronavirus Liability Release:

    Due to the outbreak of the novel Coronavirus, COVID-19, we are taking extra precautions with the intake of each client, health history review, as well as sanitizing and disinfecting practices. Please complete the following and sign below.

    Symptoms of COVID-19 include, but not limited to:

    Fever, Fatigue, Dry Cough, Difficulty breathing, Chills, Nausea or vomiting, Diarrhea, Confusion, Muscle Pain, Headaches, Red or Purple Toes, Loss of Taste, Bruising, Cramping in Lower Legs.

    I agree to the following: I understand the above symptoms and affirm that I, as well as all household members, do not currently have, nor have experienced the symptoms listed above within the last 14 days. I affirm that I, as well as all household members, have not been diagnosed with COVID19 within the last 30 days. I affirm that I, as well as all household members, have not knowingly been exposed to anyone diagnosed with COVID-19 within the last 30 days. I affirm that I, as well as all household members, have not traveled outside of the country, or to any city outside of our own that is or has been considered a “hot spot” for COVID-19 infections within the last 30 days. I understand that this business (Bloom Wellness LLC), landlord (Finkler Enterprises LLC) and my massage therapist cannot be held liable for any exposure to the virus or any other contagion passed on via massage therapist, employees, other customers in the space, or general shared use of the space or Equipment.

    By checking the box below, I agree to each above statement and release the massage therapist, and Bloom Wellness from any and all liability for the unintentional exposure or harm due to COVID-19. Your massage therapist and all employees of this facility agree that they abide by these same standards and affirm the same. We also affirm that we have improved and expanded our sanitization protocols to more thoroughly fight the spread of COVID-19 and other communicable conditions.

     

    By my electronic signature below, I agree to the Coronavirus Liability Release & Precaution Terms listed on this waiver. 

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