Informed Consent for Treatment:
I understand that I am electing to receive a Vitamin B12 injection at Enrich Health and Wellness. I understand that the procedure, potential benefits, risks, and possible side effects will be explained to me prior to treatment, and I will have the opportunity to ask questions before the injection is administered.
I understand that, as with any injection, possible side effects may include but are not limited to: bruising, bleeding, redness, swelling, tenderness at the injection site, dizziness, headache, nausea, fainting, or allergic reaction to the B12 solution.
I understand that individual results may vary and no guarantees have been made regarding the results of this treatment.
I understand that the injection will be administered by a qualified medical professional.
I understand that the fee for the Vitamin B12 injection at this event is $10, and payment will be accepted at the event via cash, Venmo, or credit/debit card.
By signing below, I acknowledge that I have reviewed this information, understand the potential risks and benefits, and voluntarily consent to receiving a Vitamin B12 injection at Enrich Health and Wellness.