Assisted Stretching Waiver
Clinician: Shantyel Bowman, ATC, CPT
Welcome! Thank you for choosing to work with me for your assisted stretching journey. Please read this waiver to ensure a safe and enjoyable experience.
Acknowledgment and Assumption of Risk
I understand that assisted stretching involves physical movement, breathing techniques and manipulation, which may include but are not limited to stretching exercises, pressure application, and other manual techniques. While these activities are generally safe and beneficial, I acknowledge that there are inherent risks, including but not limited to muscle soreness, strains, sprains, and other physical injuries.
I voluntarily choose to participate in assisted stretching sessions with Clinician Shantyel Bowman, ATC, and assume all risks associated with this activity.
Release of Liability
In consideration of the services provided by Shantyel Bowman, ATC, I hereby release, waive, and discharge her, her assistants, and her associates from any and all claims, demands, liabilities, or causes of action arising out of or connected with my participation in assisted stretching sessions, including any injury or damage that may result.
Medical Disclaimer
I acknowledge that assisted stretching is not a substitute for medical treatment or diagnosis. I have informed Shantyel Bowman, ATC, of any pre-existing medical conditions, injuries, or limitations that may affect my ability to participate safely. I understand that it is my responsibility to consult with my healthcare provider prior to beginning any new exercise or stretching program.
Consent for Treatment
I give my consent for Shantyel Bowman, ATC, to provide assisted stretching services. I understand that I have the right to ask questions and communicate any discomfort or concerns during the session.
By filling out this form, I give consent to Immersion PNW services and adhere to the operations of the business. I assume all liability and am aware of risks and benefits associated.
I am looking forward to working with you and assisting you in achieving your lifestyle goals.
In Connection,
Shantyel Bowman, ATC
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