As the client, and in consideration for my participation in PEMF Therapy Sessions with a Certified PEMF Practitioner, I agree that my participation with the healing modality is entirely voluntary and that I assume any risk associated with participation.

I understand that my practitioner is experienced working with this modality, using a personal use medical device which incorporates Earth based frequencies (.01-30 hz) of low intensities and frequencies in which our biology and tissues recognize and respond to positively; in the same way we do the natural magnetic field of planet Earth. Please note for your information and protection: not all PEMF devices are considered alike; PEMF PURA VIDA only utilizes systems by Swiss Bionic Solutions which are of the highest quality on the market with 25+ years experience and leaders in the industry. These PEMF devices are registered with the FDA and Health Canada, made with medical grade and safety components. I understand the contraindications of low pulse PEMF therapy is as follows; pregnancy, epilepsy, electronic implants such as pacemakers, and babies under 2 weeks of age.

Amanda Zeglinski, PEMF PURA VIDA and members of the business assume no responsibility for any medical expenses, injury, or damage suffered by me in connection with the use of any facilities, services and location of the practice or associated with the practice, including PEMF device rentals. By signing this form I agree to the above stated and the above mentioned is solely to protect the practice of PEMF PURA VIDA and the extremely rare circumstance of any of the above mentioned occurring. Note: Thank you for your consideration and understanding.