IMPORTANT

As you answered 'Yes' to one or more of the above questions, your medical practitioner may advise you that you cannot receive IV fluids, and our professional team may deny you services.

I have truthfully answered all questions regarding my medical history and informed the practitioner about any prescription medications and/or over-the-counter drugs I take and any street or recreational drugs. Failure to notify the practitioner about my medical issues and/or drug use can lead to potential complications. I acknowledge that I am responsible for any medical care I may have that is directly or indirectly related to the services provided by VinDoc Lab and Partners. It will be at my expense if I seek medical treatment for any side effects or reactions.

I acknowledge and agree that the sole risk of injury or harm resulting from my voluntary participation in Drip IV Services rests entirely with me if I fail to disclose any of my health condition(s), medications, or drug use in advance of the services provided. I expressly represent and warrant to VinDoc Lab and Partners that I have never been diagnosed with o treated for any illnesses or conditions that may result in increased risk when participating in the services provided by Drip IV and Partners. I understand that VinDoc Lab and Partners bear no responsibility and will not screen for, diagnose, monitor, or provide any care for such conditions. I acknowledge that Drip IV and Partners rely upon the information provided by me in assessing my suitability to participate in the services offered.

There is no guarantee that hydration therapy will temporarily or permanently cure or resolve your hangover, effects of altitude sickness, dehydration, or viral illness. Please drink alcohol in moderation. Heavy drinking after hydration therapy can lead to stomach irritation or other complications. Hydration therapy is not a cure for heavy drinking. Excessive drinking can lead to alcohol poisoning and other serious medical problems. Always drink alcohol in moderation.

I acknowledge that I have been allowed to discuss the nature and purpose of the treatment and the risks, complications, and consequences associated with the procedures. I know it is impossible to foresee or predict all possible risks, complications, and outcomes, and I do not expect the practitioner to anticipate or explain all associated risks. I waive any claims related to the services provided and agree to hold Drip IV and Partners harmless regarding any complications or consequences I experience during or following the service.

This document is intended to confirm informed consent for IV therapy as ordered by the practitioner. I have told the practitioner of any known allergies to drugs or other substances or any past anaesthetics reactions. I have informed the practitioner of all current medications and supplements.

I understand that I have the right to be informed of the procedure, any feasible alternative options, and the risks and benefits. Except in emergencies, procedures are only performed once I have had an opportunity to receive such information and to give my informed consent. 

I understand that:

1. The procedure involves inserting a needle into a vein and injecting the prescribed solution.
2. Alternatives to intravenous therapy are oral supplementation and/or dietary and lifestyle changes.
3. Risks of intravenous therapy include but are not limited to:
   1. Occasionally to commonly: Discomfort, bruising, and pain at the injection site.
   2. Rarely: Inflammation of the vein used for injection, phlebitis, metabolic disturbances, and injury.
   3. Extremely Rarely: Severe allergic reaction, anaphylaxis, infection, cardiac arrest and death.
4. Benefits of intravenous therapy include:
5. Injectables are delivered directly into the bloodstream and therefore do not affect stomach or intestinal absorption.
   1. The total dose is absorbed by infusion. Nutrients are absorbed into cells using a high concentration gradient. Although higher doses of nutrients have been given orally without intestinal irritation, the absorption rate remains low and is limited by intestinal absorption.

I am aware that other unforeseeable complications could occur. I do not expect the practitioner to anticipate and/ or explain all risks and possible

complications. I rely on the practitioner to exercise judgment during my procedure. I understand the risks and benefits of the procedure and have had the opportunity to have all my questions answered. I understand I have the right to consent to or refuse any proposed treatment before its performance.

My signature on this form affirms that I have given my consent to therapy with any different or further procedures that may be indicated by my practitioner or others associated with this practice. My signature below constitutes my acknowledgement that:

I have read, understood and fully agree to the foregoing. I have received and read the pre and post-care treatment information document.

I consent to the proposed treatment process satisfactorily explained and have all the information I desire.

I hereby give my consent and authorisation voluntarily and release Drip IV and Partners of any claims that have or may have in the future in connection with the described treatment.

GDPR & DATA PROTECTION:

I understand that my information will be confidential and will not be shared with anyone but with Drip IV and Partners. By signing below, l agree to the information being shared with Drip IV and Partners.

My signature on this form affirms that I have given my consent to IV therapy with any different or further procedures which may be indicated in the opinion of my physician(s) or others associated with this practice.