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LETTER OF CONSENT
Please state YES or NO to the medical questions below. If you state YES to any question, please elaborate.
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ALLERGIES
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ECZEMA
RECENT SURGERY
LOW / HIGH BLOOD PRESSURE
DO OR DID NOT HAVE ANY TYPE OF CANCER
DID YOU CONSUME ALCOHOL PRIOR TO VISIT
ARE YOU PREGNANT
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PLEASE ELABORATE (ALLERGIES)
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PLEASE ELABORATE ( DIABETES)
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PLEASE ELABORATE ( PHLEBITIS)
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PLEASE ELABORATE (HEART)
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PLEASE ELABORATE (LUNGS/RESPIRATORY PROBLEMS)
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PLEASE ELABORATE (ECZEMA)
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PLEASE ELABORATE (RECENT SURGERY)
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PLEASE ELABORATE (LOW /HIGH BLOOD PRESSURE)
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PLEASE ELABORATE (DO OR DID YOU HAVE ANY TYPE OF CANCER)
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PLEASE ELABORATE (DID YOU CONSUME ALCOHOL PRIOR TO VISIT)
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PLEASE ELABORATE (ARE YOU PREGNANT)
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PLEASE ELABORATE (DO OR DID YOU HAVE ANY OTHER HEALTH ISSUES)
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LIMITATION OF LIABILITY
The SPA Centre shall not be liable for bodily, or other harm that the Client may sustain, as a result of the treatments, use of the SPA facilities & equipment, either during the period the Client visits the Centre, or thereafter subsequently, unless the bodily, or other harm was caused to the Client, as a result of a negligent act, or default of the SPA Centre, its employees and associates. Provided that the display of the Regulations on notice Boards within the Centre and/or the notification of the Regulations to the client, shall be deemed as an irrefutable presumption, that the Client is aware of the Regulations and commits to fully and continuously comply with the Regulations.
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