The Full Story
PureWave Technologies
Understanding the Informed Consent Agreement
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I do not have an implanted electronic device.
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I am not pregnant.
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I do not have epilepsy.
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I do not have severe heart rhythm disturbances.
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I have not recently received chemotherapy/radiation treatments.
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I hereby request and consent to a service to be performed by Purewave Technologies, its staff and or representatives and give them permission and authority. I feel adequately informed to do so and I accept all liability for my health and wellness choices using their technologies.
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I agree to be fully responsible for any damages, if I do not disclose any underlying physical condition or illness. I further understand Purewave Technologies representatives are NOT licensed medical providers. They do not diagnose conditions nor do they prescribe or perform medical treatment, nor interfere with the treatment of a licensed medical professional.
I understand that the bio-energy sessions do not take the place of medical care. It is recommended that I see a licensed physician or licensed health care professional for any physical or psychological ailment I may have.
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I understand that PureWave Technologies does not make any promises of cures of any kind and results may vary. I understand that results are not guaranteed. I also understand that PureWave reserves the right at their sole discretion to cancel appointments at any time. I also understand that I must give a 24 hour notice of cancellation or I will be charged the full amount of the service.
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I hereby waive and release myself and my heirs, executors and administrators, from any and all claims of any nature whatsoever and do acknowledge that I will use the services provided at my own risk.
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My signature below certifies that I have read, understood and agree to the terms outlined above. I confirm that I have given accurate answers and that I am legal age in this jurisdiction.
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Non Disclosure Agreement
Any and all technology discussed and shown are considered to be intellectual property of PureWave Technologies, and therefore will be treated as non disclosure information.
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