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  • HBOT Medical Questionnaire

  • Client Details

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  • Medical Screening – Please tick Yes/No and give details if Yes

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  • Liability Waiver

  • • I hereby release, indemnify, and hold harmless Wellness Pillars Club, its directors, staff, and contractors from any liability, claims, or damages arising from my participation inHGZ sessions, except where caused by their proven negligence or as otherwise required by law.


    • I understand that participation is voluntary and that I may stop at any time.


    • I acknowledge that results vary between individuals and no guarantee of outcome has been made.

     

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  • Consent

  • • I have read and understood this form.

    • I declare that the information provided is true and complete.

    • I consent to participate in HBOT sessions at Wellness Pillars Club.

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