Waiver

Upon booking your first appointment, you will be required to sign and agree to the following:

In consideration of being allowed to participate in services at Just Be Holistic Wellness Center, I understand that I am participating in services that may include massage, qi gong, yoga, reiki, Individualized Microcurrent Frequency (IMF) programs, stress reduction, opportunities for relaxation and emotional well-being, relief of muscular tension, and physical movement. I acknowledge that these services are not substitutes for mental healthcare, medical attention, examination, diagnosis or treatment, and are not safe under certain medical conditions.

I am responsible to consult with a physician and mental healthcare professional prior to and regarding my participation in any services through Just Be Holistic Wellness Center. It is my responsibility to inform the practitioner of my medical conditions, physical limitations, and health concerns (including, but not limited to: pregnancy, pacemakers, implanted defibrillators, foreign metal objects within the body, history of radiotherapy treatment, sensory disorders, epilepsy, heart disease, or fever) before the service begins. I affirm that I do not suffer from any medical condition that would limit my participation in any services at Just Be Holistic Wellness Center. 

I, THE PARTICIPANT, HEREBY RELEASE AND HOLD JUST BE HOLISTIC WELLNESS CENTER HARMLESS FROM ALL LIABLITY TO PARTICIPANT, PARTICIPANT’S CHILDREN AND PARTICIPANT’S PERSONAL REPRESENTATIVES, ASSIGNS, HEIRS, AND NEXT OF KIN FOR ANY LOSS OR DAMAGE AND FOREVER GIVES UP ANY CLAIM OR DEMANDS THEREFORE, ON ACCOUNT OF INJURY TO PARTICIPANT’S PERSON OR PROPERTY, INCLUDING INJURY LEADING TO THE DEATH OF PARTICIPANT WHETHER CAUSED BY THE ACTIVE OR PASSIVE NEGLIGENCE OF JUST BE HOLISTIC WELLNESS CENTER, ITS OWNER(S), EMPLOYEES, AFFILIATES, AUTHORIZED AGENTS, OR INDEPENDENT CONTRACTORS OR OTHERWISE, TO THE FULLEST EXTENT PERMITTED BY LAW. 

Participant further expressly agrees that the foregoing release, waiver and indemnity, this agreement is intended to be as broad and inclusive as is permitted by the law of the State of Pennsylvania and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full force and effect. 

By signing upon booking, I hereby agree to irrevocably release and waive any claim, demand, or cause of action of any kind that I have now or hereafter may have against Just Be Holistic Wellness Center, its owner(s), employees, affiliates, authorized agents, or independent contractors or otherwise, to the fullest extent permitted by law. 

I have read this entire document and fully understand, and voluntarily agree to the terms and conditions stated above. I am legally competent to sign this Waiver & Release Form.