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👉 Please complete and sign prior to our first session.
Felt Health LLC
dba Julia de Castro DPT
Consent to Services
I, the undersigned, acknowledge I am at least 18 years old and have read, understood, and voluntarily agree to this Release and Waiver.
I understand that Felt Health LLC provides wellness services using Equiscope® technology, and while sessions may offer therapeutic benefits, no guarantees or assurances have been made regarding specific outcomes.
By signing this document:
Release of Liability: I voluntarily release and hold harmless Felt Health LLC, its owner, employees, contractors, and agents from any liability, claims, or damages resulting from my participation in these services, including the use of Equiscope® and micro-current technology.
Client Responsibility: I acknowledge it is my responsibility to consult my physician regarding any health concerns or potential contraindications prior to receiving services.
Informed Consent: I confirm that I understand the nature of receiving sessions and the potential for temporary detoxification or other mild symptoms as part of the process.