Client Intake Form

The statements and services offered have not been evaluated by the US Food and Drug Administration. This service is not intended to diagnose, treat, cure or prevent any disease. Those seeking treatment for a specific dis-ease should consult a qualified integrative physician, preferably a holistic physician, prior to using our service.

    Welcome

    My commitment to you as your Womb Care Practitioner is to journey with you towards healing yourself and empowering yourself as a woman through a mind, body, spirit approach.
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    What's Your Womb Story?

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    Medications & Supplements

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    Liability Policy

    Here are recommendations for all clients of the F.R.E.S.H Womb Steam: ~The use of drugs, medication or alcohol prior to or during the sauna session may lead to dizziness or unconsciousness. ~Please consult your physician if you are in doubt of your ability to use a womb steam for health reasons. ~Please discontinue the use of the sauna if you feel light-headed, dizzy or heat exhausted. ~Steam sessions should be limited to a maximum of 60 minutes. ~It is advisable to drink plenty of water before and after sauna session. ~It is advised not to eat at least one to two hours prior to your sauna session to avoid any ill feelings. ~Clients using any medications must consult a physician or pharmacist prior to the use of the sauna. ~(IMPORTANT) Pregnant women should consult their physician prior to the use of the sauna. Excessive body temperatures have a potential for causing fetal damage during the early days of pregnancy. ~Do not use any chemicals or lotions prior to your sauna session. These items may block pores and affect perspiration. By checking the agreement box below, I acknowledge and accept the risks inherent in the use of the vaginal steam. ~I voluntarily assume the risk of injury, accident or death, which may arise from the use of the vaginal steam.. ~I and any of my heirs, executors, representatives or assigns hereby release from all claims or liabilities for personal injury or property damages of any kind sustained while in the vaginal steam, during the use of the vaginal steam and from any advice provided by an employee, independent contractor or any representative. ~I agree that this intake form and Waiver is in effect for all F.R.E.S.H womb steam sessions and will not expire unless requested by either party.
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