I, Full Name*, hereby acknowledge and agree to the terms and conditions outlined in this Release of Liability Form with MearaPulse Therapies and Sheri Spencer for the provision of Pulsed Electromagnetic Field (PEMF) therapy services.
In order to participate and receive the application of PEMF therapy, I acknowledge that:
By agreeing to receive PEMF therapy, I acknowledge and understand the following:
By signing below, I acknowledge that I have read and understood the terms of this Release of Liability Form and voluntarily agree to its contents.