FOR MAGNAWAVE CLIENTS ONLY: If you are receiving Magnawave or holding your pet during the session:

You cannot have an implanted pacemaker or defibrillator, or ANY implanted battery-operated device that you cannot remove. You cannot be pregnant or have had an organ transplant.

You cannot have external screws/fixator.

Stents MUST be MRI compliant

My signature below acknowledges I do not have any of the described devices or medical conditions as detailed above.

Have you, your Equine or pet been diagnosed with cancer or is currently pregnant? My signature below acknowledges myself, my equine or pet that is being treated, does not have a diagnosis of cancer or pregnancy.

I certify the above information is correct to the best of my knowledge. I will not hold my equine massage therapist or any members of her staff responsible for any errors or omissions that I may have made in the completion of this form. I have disclosed all medical conditions that I am aware of and will inform my equine massage therapist of any changes in the horse/pets/ my health status. I understand that equine massage, kinesiology taping, red light application, cold laser or Magnawave therapy services are designed to be a health aid and only for preventative maintenance. These modalities are in no way, a substitute for a Veterinarian or Physicians care. Information exchanged during a session, is educational in nature.