iRelaxBot Health Waiver

Before participating in experience iRelaxBot, all participants are required to carefully read and acknowledge the following health waiver. This document outlines the potential health risks associated with the activity and seeks your informed consent to participate. Please read the waiver thoroughly and, if you have any questions, consult with a healthcare professional before proceeding.

PLEASE DON'T USE IRELAXBOT IF YOU HAVE ANY BELOW PHYSICAL ISSUE:

  • Severe heart disease
  • Severe Primary Hypertension
  • Severe Malignant Tumor (Cancer)
  • Medical Implant or Stimulators (e.g., heart pacemaker or any medical device)
  • Deep Vei Thrombosis
  • Under influence of alcohol
  • Epilepsy or Mental Disorder
  • Orthopedic surgery within 1 year
  • Hemorrhage or Abdominal surgery within 1 year
  • Any bone injury
  • Spinal cord or brain suffering from Space-occupying lesion
  • Severe Spinal Deformity
  • Within six months after fracture surgery or not having healed after surgery
  • Caesarian section within 6 months
  • Any skin damage, Ulceration or Bleeding
  • Hyaluronic Acid Injection within 3-month
  • Rhinoplasty within 3 months
  • Have eaten within half an hour before treatment
  • Breast Augmentation within 3 months
  • Loss of consciousness
  • Autologous Fat Filing within 3 months
  • Menstruation, Pregnancy, or recent Postpartum within 3 months
  • Nasal Synthesis within 3 months
  • Under 6 years of age
  • High Fever
  • Severe Osteoporosis regardless of age
  • Infectious Disease
  • Perceptual Disturbance
  • Sweating Easily

Informed Consent Form

You are about to undergo a body conditioning treatment based on the principles of alternative therapy. The goal is to promote your health through natural methods, such as Whole-Body Periodic Acceleration (pGz), Whole-Body Vibration (WBV), and music audio therapy. Our approach focuses on holistic health and may involve regulating your body’s energy balance, detoxification, and enhancing your immune system.

1. Possible Reactions

During the treatment process, your body may experience the following:

Healing Reactions: These reactions are a normal part of your body's adjustment process and may include temporary worsening of symptoms (such as fatigue, headaches, or skin issues), emotional fluctuations, or mild discomfort. Short-term discomfort related to detoxification may also occur. These symptoms are typically brief and indicate that your body is responding positively. We will support you through this period to help you transition smoothly.

2. Potential Side Effects

While our therapies are rooted in safety and natural methods, there is still a possibility of the following side effects: Mild allergic reactions, such as rashes or slight gastrointestinal discomfort. Other rare but possible reactions depending on individual health conditions. If you

experience any discomfort or unusual symptoms during the treatment, please stop immediately and inform us.

3. Your Rights

Right to Information: You have the right to understand all relevant information about the treatments you receive, including the process, expected outcomes, potential risks, and alternative options.

Right to Autonomy: You have the right to choose to discontinue the treatment at any time or seek further information.

Right to Privacy: We are committed to maintaining the confidentiality of all your personal information and will not use it for any other purposes without your consent.

4. Your Responsibilities

Active Participation: Please actively participate in the treatment process by honestly reporting your physical responses so that we can provide you with the best support.

Following Guidance: Please follow the therapist’s instructions during therapy and adhere to any post-treatment care recommendations.

5. Consent and Signature

By signing this document, you acknowledge that you have fully understood and agree to:

Undergo the treatments described in this document and accept any potential healing reactions and side effects. Inform us immediately of any discomfort or unusual reactions so that we can jointly decide on the next steps.

Media Release Authorization Statement

Thank you for participating in our project. To ensure we can fully showcase the results you achieve using the iRelaxBot device, please review the following statement:

1. Authorization for Use

You hereby agree that DJB Network Inc (DBA iRelaxBot) and its partners may use your image, voice, and/or performance in our videos, photos, audio recordings, and other media content. We will utilize these materials to promote project outcomes, in marketing activities, and for other related promotional purposes.

2. Scope of Use

We may display these materials across various platforms, including but not limited to our official website, social media accounts, promotional materials, and other public or internal channels. Please be assured that we will use your image professionally and respectfully.

3. Unpaid Use

We are very grateful for your support of the project. You understand and agree that all authorizations provided for this activity are granted without compensation.

4. Rights Protection

We commit to using your image and voice reasonably, striving to ensure that all uses align with your expectations. If you have any questions or suggestions regarding the use of these materials, please feel free to contact us. We will do our best to accommodate your needs and adjust as necessary.

5. Revocation and Modification

While signing this statement indicates your consent for us to use your image and voice, if you have any special requests or wish to make changes in the future, please contact us, and we will make every effort to work with you.

I have read and agreed to the above terms and fully understand their contents.

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