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THE PARTIES. This Informed Consent and Assumption of Risk and Release of Liability (“Release”) is made on the Effective Date of this Agreement and entered between "Client's Name" Indicated in the FORM and the "Posture Correction Specialist and MC Total Body Solutions, LLC".

MC Total Body Solutions
Liability Waiver
Do you have a doctor’s permit to participate in intense physical activities?
INFORMED CONSENT. The Client acknowledges, certifies, and accepts the following: (initial or check where applicable) Required
INFORMED CONSENT. Assumption of RISK Required
INFORMED CONSENT. Reporting Discomfort Required
INFORMED CONSENT. INDEMNIFICATION Required
INFORMED CONSENT. RESPONSIBILITY Required
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 MEDICAL STRETCHING - FASCELLA RF THERAPY - TOTAL POWER SCULPT - POSTURAL CORRECTION - INFRARED LIGHT THERAPY

Location

ZIMBARDO Chiropractic
274 White Plains Rd
Eastchester, NY 10709

Hours of Operation

TUE

Thurs

Sat

Sun

6am - 2pm
6am - 8pm
12pm - 6pm
8am - 5pm

Contact Us

(914) 774-8890
admin@mctotalbodysolutions.com

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Copyright @2024 By Mctotalbodysolutions. All Rights Reserved.

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