Informed Consent for Treatment:
I have been informed about my chosen product, and understand the information regarding the risks and benefits of vitamins and amino acid injectables. I have had a chance to ask questions on treatment. I understand the possible complications of injection into the muscle; which are bruising at the site, numbness and tingling, dizziness, headaches, and possible fainting from the sight of blood. I understand that there may be a slight chance for sensitivities and reactions to any injectable solutions. I understand that I do not have an allergy to niacin. I understand that there may be numbness in the muscle that is injected for a period of time. I hereby release The B-12 Store and all its employees from all liabilities regarding my treatment with vitamin and amino acid injectables.