By checking this box I fully understand all of the questions above and have answered them correctly and honestly. Furthermore, I know that it is my responsibility to alert the technician, upon every visit, about recent medical or physical conditions that have occurred. Without the above disclosure, I understand that the attending technician cannot optimize the effectiveness of any treatments or therapies. By checking this box, I consent to all procedures and treatments done at this facility and do not hold the technician or facility responsible for any complications incurred during any treatments and procedures today or in the future.
By checking this box I agree to the following cancellation policy: In the even you must cancel or reschedule an appointment, please allow 24 hours. No shows will be charged in full. Late arrivals will receive the best possible service in the remainder of their allotted time.