Waiver

MAT Informed Consent, Waiver, Release of Liability and Consent to Medical Attention Form

INFORMED CONSENT

Muscle Activation Techniques (MAT) is a bodywork technique using a systematic approach to identify and treat muscular imbalances that relate to injury and pain. The focus of the evaluation procedure is based upon the understanding that  the body will protect itself when it recognizes instability. Therefore muscles will tighten up as a protective measure when instability is recognized. MAT addresses the component of muscle weakness as a cause for limitations in joint range of motion. When a muscle is inhibited and/or has lost proprioceptive input, it does not contract efficiently, and the joint  that it  supports  becomes unstable. MAT is designed to identify and correct the positions of instability. When MAT is performed, the natural protective mechanisms are diminished and normal joint motion occurs. The goal is to not only increase joint motion, but to also increase stability through that range of motion (Mobility and Stability).

The undersigned understands and agrees that during the visit he/she is not receiving physical therapy, chiropractic treatment, or medical treatment. MAT cannot be used to diagnose, treat, or cure any medical condition. Please consult your physician before beginning any workout or treatment program.

Any questions about the procedures used during MAT sessions are encouraged.  If  you  have any concerns or questions,  please ask for further explanations.

WAIVER, RELEASE OF LIABILITY AND CONSENT TO MEDICAL ATTENTION

In Exchange for my being allowed to participate in Ryan Caseys Muscle Activations, LLC programs and opportunities (the "Activity"), I, and if I am not yet 18 years old, my parent or legal guardian (individually and collectively referred to below in the first person singular) agree to be bound by each of the following: 

Identification of Risks: I understand that participation in the Activity may involve risk of injury, disability and death.

Assumption of Risk: I am physically and psychologically ready to participate in the  Activity and assume all risks connected  with my participation in the Activity. I accept personal responsibility for any liability, injury,  loss or  damage  in any  way connected with my participation in the Activity.

Status of Muscle Activations: I understand and represent that Muscle Activations (including its affiliated organizations, directors, officers, sponsors, employees, agents, successors, and assigns) is not my physician and that the Activity does not constitute the provision of medical or health care services.

Waiver and Release: I release and discharge Muscle Activations, and each of its affiliated organizations, directors, officers, sponsors, employees, agents, successors,  and assigns from all claims for any liability, injury,  loss, or damage in any way connected with my participation in the  Activity, whether or not caused in whole or part by the  negligence of any of the organizations or individuals mentioned above. l intend for this waiver and release to also apply to my relatives, personal representatives, heirs, beneficiaries, next of kin, and assigns who might pursue any legal action or claim for such liability, injury, loss or damage.  I further intend  that this waiver and release shall be effective indefinitely and unless and until   I provide written notification to Muscle Activations to the contrary. This waiver and release nullifies any prior waiver and release signed by me.

Consent to Medical Treatment: l agree that Muscle Activations (including its affiliated organizations, directors, officers, sponsors, employees, agents, successors, and assigns) may, but has no duty to provide me, through medical personnel of their choice, customary medical or training assistance, transportation, and emergency medical services.I have read this waiver, release and consent and understand that I have given up substantial rights by signing it. I am signing this waiver, release and consent voluntarily.

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