Thank you for choosing 1 Stop Doc for your wellness services. To facilitate your services, it is important that you read and understand the following:
Our holistic health services are solely for the purpose of helping the client to attain and maintain optimum health. At all times your healing is your responsibility. Services provided by 1 Stop Doc are not to be substituted for a physician's advice. 1 Stop Doc vaginal and foot detox services are complimentary holistic healing alternatives, are supplemental, and are completely elective.
You hereby request consent to receiving steaming care services from 1 Stop Doc You are required to advise your 1 Stop Doc Practitioner of any conditions, including pregnancy, physical disabilities, or past/recent surgeries. Clients are also required to notify the Practitioner of conditions that are contagious that may prevent you from receiving our services now. Client is responsible to inform the Practitioner if at any time during your care you experience any pain or discomfort.
You have been advised of the possible benefits of receiving vaginal steams including but not limited to weight loss, pain management, stress relief, cleansing and detoxing, strengthening, and toning of the uterus and the reduction of the severity of certain conditions and disease. 1 Stop Doc reserves the right to terminate or refuse its services to any person posing a health risk, and/or safety threat and/or for any inappropriate behaviors.
You are hereby advised that all records rendered to 1 Stop Doc concerning your care are kept confidential and will not be released by 1 Stop Doc or its providers without your written consent, unless otherwise required by law.
I hereby acknowledge that I have read this Acknowledgement and Release from Liability form and fully understand the nature of the services being provided and freely agree to receive service. I release 1Stop Doc and its Practitioners, on behalf of myself from medical claims of malpractice, non-disclosure, or lack of informed consent. I freely assume all risks of the services provided presently or hereafter.
In signing below, you agree 1 Stop Doc and Practitioners are family nurse practitioners and to the above disclaimer release any liability and give permission and authorize them to work with you to provide you with their holistic health and wellness services.
Note: This information may not cover all possible claims, uses, actions, precautions, side effects or interactions. It is not intended as medical advice and should not be relied upon as a substitute for consultation with your primary physician who is familiar with your medical situation. On behalf of 1 Stop Doc, LLC we are honored to serve you.