TENS Unit Rental Agreement
(Transcutaneous Electrical Nerve Stimulation)
Name
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example@example.com
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Release of Liability: I fully understand that Sacred Lane Birth Services (Kirsten Lane) is not a doctor or licensed medical provider and can not recommend or prescribe medical advice. I also understand it is my choice to use this unit, and my responsibility to communicate with my medical provider any concerns I may have regarding use of a TENS machine in pregnancy or labor. I also understand that if I have any pre existing conditions, particularly those relating to the heart, skin, or epilepsy it is my responsibility to consult my medical provider before use of a TENS machine. Kirsten Lane assumes no responsibility for use of the TENS unit.
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Agree
Cancellations: I understand that if I choose to cancel my booking I must do so 48 hrs in advance of the start of my rental period to receive a refund, and all but my $25 booking deposit will be refunded.
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Agree
Rental Details: Delivered 4 weeks prior to your EDD. rental period of 6 weeks (can aid in postpartum cramps!), Elle TENS 2 unit with built in contraction timer, 4 reusable large maternity electrode pads (new pads are included in each rental and are not reused between clients), 2 lead wires, 2 AA batteries plus a spare set, Neck cord and carrying pouch, Instructions Book, Priority mail and postage paid return label included.
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TENS Unit Rental
TENS is a safe and effective means of combating pain during the process of childbirth.
$
75.00
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