AWG Detox Room
Information & Liability Release

Prior to booking your appointment to use the AWG Detox Room, please fill out the form completely, read the AWG Detox Room Information and Liability Release, check the box and click Submit. This will take you to the online booking page ~ Thank you!

Full Name

Phone

Emergency Contact Name & Phone

Are you Pregnant? If Yes, How Far Along

Have you used Infrared Sauna before? Have you consulted your phsycian prior to using Infrared Sauna?

Are you taking any medications?

1. Arterial Disease? 2. Unstable Angina? 3. Recent Heart Attack?

Have you been diagnosed with any other medical conditions? If yes, please explain:

I agree I have clicked on and fully read the AWG Detox Room Information and Liability Release, and I agree that clicking on this box represents my acceptance and legal signature. Click Here: AWG Detox Room Information and Liability Release

AWG Detox Room Information & Liability Release

AWG Detox Room
Information & Liability Release