1. IN CONSIDERATION FOR UNDERGOING INTRAVENOUS THERAPY AND/OR INTRAMUSCULAR INJECTION THERAPY, I, THE UNDERSIGNED, FOR MYSELF, MY HEIRS, ELECTORS, ADMINISTRATORS AND ASSIGNS, HEREBY RELEASE, WAIVE, DISCHARGE AND HOLD HARMLESS IVPRO.SOLUTIONS, ITS PARENT AND SISTER COMPANIES, ITS RESPECTIVE EMPLOYEES, REPRESENTATIVES, DESIGNEES, MEMBERS, MANAGERS, AGENTS, OFFICERS, SUCCESSORS AND ASSIGNS OF ANY OF THEM (HEREINAFTER JOINTLY REFERRED TO AS "AGENTS"), WITHOUT LIMITATION, FROM ANY AND ALL LIABILITY, CLAIMS, DEMANDS, AND CAUSES OF ACTION WHATSOEVER ARISING OUT OF, RELATED TO OR CONNECTED IN ANY WAY WITH ME ENTERING THE IVPRO.SOLUTIONS TREATMENT AREA(S), MY PARTICIPATION IN INTRAVENOUS THERAPY AND/OR INTRAMUSCULAR INJECTIONS, ANY OF WHICH MAY CAUSE DAMAGE OR INJURY TO ME WHETHER CAUSED BY THE NEGLIGENCE OF RELEASEE AND ITS AGENTS OR CARELESSNESS OR OTHERWISE.
2. MY PARTICIPATION IN INTRAVENOUS THERAPY AND/OR INTRAMUSCULAR INJECTIONS IS VOLUNTARY AND DONE AT MY OWN RISK. I HEREBY CONFIRM THAT NO WARRANTY, GUARANTEE OR OTHER ASSURANCE HAS BEEN MADE TO ME BY RELEASEE OR ITS AGENTS COVERING THE RESULTS OF THE INTRAVENOUS THERAPY AND INTRAMUSCULAR INJECTIONS, WHICH HAS BEEN EXPLAINED TO ME. I UNDERSTAND THAT THE ADMINISTRATION OF INTRAVENOUS THERAPY AND INTRAMUSCULAR INJECTIONS, INCLUDING POSSIBLE ADVERSE REACTIONS, SIDE EFFECTS, OR OTHER POSSIBLE COMPLICATIONS FROM IT. I UNDERSTAND, CONSENT, AND AGREE TO ASSUME THOSE RISKS IN ADVANCE OF ANY INTRAVENOUS THERAPY, INTRAMUSCULAR INJECTIONS, OR FROM ME ENTERING THE IVPRO.SOLUTIONS TREATMENT AREA TO ENGAGE IN SUCH USAGE.
3. I AGREE TO INDEMNIFY, HOLD HARMLESS AND RELEASE THE RELEASEE AND ITS AGENTS WHO THROUGH NEGLIGENCE OR CARELESSNESS OR OTHERWISE, MIGHT BE LIABLE TO ME (OR MY HEIRS, PERSONAL REPRESENTATIVES OR ASSIGNS) FOR DAMAGES THAT MAY OCCUR DUE TO MY PARTICIPATION IN INTRAVENOUS THERAPY AND/OR INTRAMUSCULAR INJECTIONS OR FROM ME ENTERING THE IVPRO.SOLUTIONS TREATMENT AREA TO ENGAGE IN SUCH USAGE.
4. I AGREE THAT THIS WAIVER OF LIABILITY AND RELEASE SHALL BE CONSTRUED UNDER THE LAWS OF THE STATE OF ARIZONA.
5. I UNDERSTAND THAT INTRAVENOUS THERAPY AND INTRAMUSCULAR INJECTIONS ARE USED ONLY BY PERSONS IN GOOD GENERAL HEALTH. I HAVE BEEN ADVISED THAT IF I SUFFER FROM ANY MEDICAL CONDITIONS OR ILLNESS WHATSOEVER, I SHOULD NOT RECEIVE INTRAVENOUS THERAPY OR INTRAMUSCULAR INJECTIONS.
6. I UNDERSTAND IVPRO.SOLUTIONS HAS A RIGHT TO REFUSE ANY REFUNDS BEYOND 10 DAYS FOLLOWING THE SERVICE OR THE END OF THE EVENT AT WHICH THE SERVICE WAS PERFORMED, WHICHEVER IS EARLIER, SINCE ROYALTIES AMONG OTHER EXPENSES ASSOCIATED WITH THE COST FOR SERVICE HAS BEEN DEDUCTED.
I ACKNOWLEDGE AND REPRESENT THAT (1) I HAVE READ, UNDERSTAND AND FULLY AGREE TO THE FOREGOING WAIVER OF LIABILITY AND RELEASE, (2) THE PROPOSED INTRAVENOUS THERAPY AND/OR INTRAMUSCULAR INJECTIONS HAVE BEEN SATISFACTORILY EXPLAINED TO ME AND I HAVE ALL OF THE INFORMATION I DESIRE, (3) I HAVE HAD A PREVIOUS MEDICAL EXAMINATION TO ASSURE MYSELF AND ASSUME MY OWN RESPONSIBILITY OF GOOD HEALTH AND CAPABILITY TO RECEIVE INTRAVENOUS THERAPY AND INTRAMUSCULAR INJECTIONS, AND (4) I HEREBY GIVE MY AUTHROIZATION AND CONSENT. THIS WAIVER OF LIABILITY AND RELEASE IS EFFECTIVE AS LONG AS I UNDERGO INTRAVENOUS THERAPY AND/OR INTRAMUSCULAR INJECTIONS AT THIS LOCATION NOW AND IN THE FUTURE. NO ORAL REPRESENTATIONS, STATEMENTS OR INDUCEMENTS APART FROM THE FOREGOING WRITTEN AGREEMENT HAVE BEEN MADE BY RELEASEE OR ITS AGENTS; I AM AT LEAST 18 YEARS OLD AND FULLY COMPETENT; AND I AGREE THAT I WILL COMPLY WITH ALL INSTRUCTIONS REGARDING INTRAVENOUS THERAPY AND INTRAMUSCULAR INJECTIONS. I AGREE TO AND UNDERSTAND THAT REFUNDS ARE NOT GIVEN ON INTRAVENOUS THERAPY AND INTRAMUSCULAR INJECTIONS, EXCEPT WHERE OTHERWISE ALLOWED IN IVPRO.SOLUTIONS REFUND POLICY.