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Whole Body Vibration Consent
Whole Body Vibration Consent
Kyle Gordon
2023-07-17T20:54:47-06:00
Whole Body Vibration Consent
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Whole Body Vibration Consent
Please be advised that the K-1 platinum Whole Body Vibration Machine is being used for the purpose of exercise and other health benefits. Read and follow all instructions and warnings and obtain proper instruction prior to using the K1 Machine. if you have any of the conditions listed below, please consult a physician before using. This device may not be suitable for everyone. Strong vibration affecting the neck and head can occur when using positions other than standing. Consulting a physician for approval is recommended. Misuse of this machine could result in serious injury. Keep children under age 12 away from this machine. User weight must not exceed 325 pounds. Stop exercising if you feel pain, faint, dizzy, or short of breath.
If you have have of the following diagnosed conditions, please place a check mark and discuss with your Doctor:
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Acute Hernia, Discopathy or Spondylosis
Acute Thrombosis
Artificial Joints (recent)
Hip, Knee or shoulder implant
Epilepsy
Head Injuries, Known Neurological Conditions
Pacemaker and lmplantable Cardioverter Defibrillator
Poor Samato Sensory Receptor on Feet Planar Surfaces
Pregnancy
Pulmonary Embolism
Recent Wounds from an Operation or Surgery
Recently Placed IOD’s , Metal Pins, or Plates
Retinal Detachment, Known Retinal Conditions
Severe Cardiovascular Disease or Conditions
Severe Migraines
Tumors (cancerous)
Severe Diabetes
I have not had any of the above diagnosed conditions
lf you checked any of the above conditions, please explain:
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Consent
I agree to and understand the following:
I understand that I may be able to use the K-1 Whole Body Vibration Device even though I have check marked any of the above conditions. I further understand that I use the K-1 Whole Body Vibration Device at my own risk.
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