Animal PEMF Liability Release and Waiver Form
  • PEMF Treatment

    PEMF Treatment

    Waiver and Liability Release Form
  • By using and the Pulsed Electromagnetic Field (PEMF) Pad (the “System”) from Heather Wallace, as the case may be (“PULSE”), the undersigned confirms that he or she meets the standards set forth below and agrees to the terms set forth below and the Standard Terms and Conditions on the reverse side of this sheet. 

    This acceptance includes an obligation to arbitrate all claims and disputes as provided herein, including any claims for injury, and a submission to jurisdiction as set forth herein.  This is a binding legal obligation.

    The system is designed for the purpose of cellular exercise to promote and support a sense of wellbeing by removing inflammation. All uses of the PEMF device will be only to serve those purposes and are not a replacement for veterinary care.

    Do not use if:

    ●  Animal or Owner has an implanted electronic device including: pacemaker, defibrillator, cochlear hearing device,  spinal stimulator, etc. 

    ●   Animal or Owner is pregnant 

    ●   Animal ow Owner is actively bleeding or hemorrhaging

    ●   Animal has injuries or concern of injuries that have not yet been evaluated by a veterinarian

    ●   Animal has colic (consult a practicing veterinarian to decide whether it is appropriate to proceed)

    If you are unsure whether pulsed electromagnetic field cellular exercise is right for you, consult with your licensed health care provider(s). 

    Before beginning a PEMF Exercise Session we recommend the following: 

    ●   Remove the following from your person: Electronic or battery-operated devices, keys, wallets, cards with magnetic strips such as credit cards and hotel keys, jewelry, and hearing aids. 

    During a PEMF Exercise Session:

    ●   Animal may experience muscle soreness, stiffness, changes in fecal output, hives or skin changes, mood/behavioral changes, and should seek veterinary attention accordingly.

     

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  • By my signature below, I acknowledge that I have read the following, understand it and agree to the terms:

    No one has made any representations or claims to me of any treatment or cure of any disease or condition; or any promise of any specific or general results of any kind regarding treatments on myself or on the horse I own or am in control of. I release from all general, medical and any other liability or claims of any kind; and, I indemnify and hold harmless, Heather Wallace and Animal Bodywork and Aromatherapy and its respective officers, directors, agents, servants, employees, divisions, subsidiaries, shareholders, partners, members, affiliated companies, successor and assigns, the magnetic pulse generator, the manufacturer, distributor, dealer and any of their employees or agents, (the "Company") from any claim arising from or related to my use of the magnetic pulse generator.

    Should anyone acting on Signatory's behalf be required to incur attorney's fees and costs to enforce this agreement, I agree to indemnify and hold harmless the Company, for all such fees and costs. I agree that this liability shall be interpreted and governed by the laws that the attending Practitioner resides in at the time of treatment

     

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