INFRARED SAUNA CONSENT FORM

To provide the best experience for our guests, sauna use is by appointment only. Consent to use the full spectrum infrared red sauna is conditional upon provision of accurate answers to the following questions and signing this agreement.

PLEASE ANSWER THE FOLLOWING QUESTIONS:

Please check all that apply:
INFRARED SAUNA AGREEMENT / ACKNOWLEDGMENT
  1. The use of drugs, medication or alcohol prior to or during the sauna session may lead to dizziness or unconsciousness.  Clients using any medication must consult a physician or pharmacist prior to the use of the sauna.
  2. Please consult your physician if you are in doubt of your ability to use the far infrared for health reasons.
  3. No one under the age of 18 is permitted in the infrared sauna unless accompanied by a supervising adult. 
  4. Discontinue the use of the sauna if you feel light-headed, dizzy, or heat exhausted.
  5. Sauna session should be limited to no more than 45 minutes and temperatures must stay below 150 degrees Fahrenheit.
  6. Plastic water bottles, cell phones, and other electronic devices are not permitted in the sauna.  Wearing jewelry in the sauna is not advised.
  7. Clients using any medications must consult a physician or pharmacist prior to the use of the sauna.
  8. You are not permitted to use the sauna if you are pregnant, have serious heart conditions, a fever, a communicable disease, acute bleeding, or are intoxicated.
  9. Infrared sauna use as creating a cure for or treating any disease is neither implied nor should be inferred.

I acknowledge and voluntarily assume the risk of injury, accident, or death which may arise from the use of  the infrared sauna.  I also understand that if I have any health concerns, it is my responsibility to consult with a physician prior to use.

I, on behalf of myself and any of my heirs, executors, representatives, or assignees, hereby waive and release all claims or liabilities for personal injury or property damage of any kind sustained while on the premises of A BRAND NEW LEAF WELLNESS CENTER, during the use of the infrared sauna and from any advise provided by an employee, independent contractor, or any representative.  I agree that this Consent and Waiver is in effect for all infrared sauna sessions and will not expire unless specifically requested by either party.

*
INFRARED SAUNA CONTRAINDICATIONS

Medications Individuals who are using prescriptions drugs should seek the advice of their physician or pharmacist for possible changes in the drugs effect when the body is exposed to infrared waves or elevated body temperature. Diuretics, barbiturates, and beta-blockers may impair the body’s natural heat loss mechanisms. Anticholinergics such as amitriptyline may inhibit sweating and can predispose individuals to heat rash or, to a lesser extent, heat stroke. Some over-the-counter drugs, such as antihistamines, may also cause the body to be more prone to heat stroke.

The Elderly The ability to maintain core body temperature decreases with age. This is primarily due to circulatory conditions and decreased sweat gland function. The body must be able to activate its natural cooling processes to maintain core body temperature. When using with the elderly, operate at a lower temperature and for no more than 15 minutes at a time.

Cardiovascular Conditions Individuals with cardiovascular conditions or problems (hypertension/hypotension), congestive heart failure, impaired coronary circulation or those who are taking medications which might affect blood pressure should exercise caution when exposed to prolonged heat. Heat stress increases cardiac output and blood flow in an effort to transfer internal body heat to the outside environment via the skin (perspiration) and respiratory system. This takes place primarily due to major changes in the heart rate, which has the potential to increase by thirty (30) beats per minute for each degree increase in core body temperature.

Alcohol / Alcohol Abuse Contrary to popular belief, it is not advisable to attempt to “sweat out” a hangover.  Alcohol intoxication decreases a person’s judgment; therefore, he/she may not realize when the body has a negative reaction to high heat. Alcohol also increases the heart rate, which may be further increased by heat stress.

Chronic Conditions / Diseases Associated with a Reduced Ability to Sweat Multiple Sclerosis, Central Nervous System Tumors and Diabetes with Neuropathy are conditions that are associated with impaired sweating.

Hemophiliacs / Individuals Prone to Bleeding The use of infrared saunas should be avoided by anyone who is predisposed to bleeding.

Insensitivity to Heat An individual with insensitivity to heat should not use an infrared sauna.

Menstruation Heating of the low back area of those who are menstruating may temporarily increase menstrual flow.

Joint Injury If you have a recent (acute) joint injury, it should not be heated for the first 48 hours after injury or until the swelling subsides. If you have a joint or joints that are chronically hot and swollen, these joints may respond poorly to vigorous heating of any kind.

Implants Metal pins, rods, artificial joints, or any other surgical implants generally reflect infrared waves and thus are not heating by this system. Nevertheless, you should consult your physician prior to using an infrared sauna.

Pacemaker / Defibrillator The magnets used to assemble this wooden sauna can interrupt the pacing and inhibit the output of pacemakers. Please discuss with your doctor the possible risks this may cause.

PROPER HYDRATION

It is always important to maintain proper hydration levels during infrared therapy.  Dehydration will increase carbohydrate utilization and cause less fat to be burned for energy.  We highly recommend drinking a minimum of 8 oz. of water prior to entering the sauna and a minimum of 8 oz. of water after sauna use.  Drinking an electrolyte-replacing water or a sports drink is strongly recommended before and after use.

IF THE CLIENT IS UNDER 18 YEARS OF AGE:

As a Parent/Legal Guardian of the above listed Client, I acknowledge that I have read and understood the safety standards and warnings provided to me by A Brand New Leaf Wellness Center and thereby authorize the person named above to participate in infrared sauna sessions.  I acknowledge that I have read and completely understand this consent form, and agree to the above waivers of liability, recommendations and terms.  I attest that I have provided accurate age, identity and relationship verification.

CANCELLATION AND REFUND POLICY

By booking my appointment, I agree to the following terms:

  • All appointments require a deposit at the time of scheduling. (Prices are subject to change without notice)
  • A  minimum 24-hour advance notice is required for cancellations or rescheduling.  Late cancellations or no-shows for non-prepaid appointments will incur a $50 fee, if canceled less than 24 hours before the appointment.
  • Prepaid no-show appointments will be counted as a used session unless canceled at least 24 hours in advance. Late cancellations will allow for one rescheduled appointment.  If the rescheduled appointment is also a no-show or canceled late, it will be counted as a used session.
  • Arriving more than 15 minutes late will result in the service time reduced.  Alternatively, the appointment can be rescheduled.
  • In the event I choose to terminate my session, regardless of the reason or the duration of time I have already spent on the unit, I will be subject to the full fee corresponding to a 30-45 minute session.

This policy is in place to ensure that the professional time and resources allocated for the session are duly compensated for, thereby maintaining the fairness and sustainability of our service provision.

  • All service sales are final.  NO refunds will be issued for late cancellations, missed appointments, or cancellations due to undisclosed health conditions on this form.

By signing this agreement, you confirm your consent to these terms.

*
Powered by