Before your first appointment, please review and sign the following disclaimers and waivers.
Services disclaimer
PEMF/Amp Coil:
The Amp Coil is a Tesla designed, NASA approved Magnetic Field Therapy. PEMF (Pulsed Electromagnetic Fields) is a non-invasive technology that is designed to bring the body back into Homeostasis. You may feel temporary symptoms after your PEMF treatments. People have reported fatigue, irritability, and even nausea. This is a sign that your body is detoxing and symptoms should be very temporary.
DO NOT PARTICIPATE IN PEMF/AMP COIL THERAPY IF YOU HAVE ANY OF THE FOLLOWING:
Pregnant or Breastfeeding
Have a Pacemaker or Defibrillator
Have any electrical or battery operated implant
Have Cochlear Implants
Have an intrathecal pump
Suffer from Seizures
Have had an organ transplant
Do not use on or around internal staples, pins, screws, plates, replacement joints or breast implants
Keep coil away from head or face if multiple amalgam fillings are present
Ereada Amethyst Mat:
Blending Western technology with Korean wellness practices, the Ereada amethyst Heated Healing Mat features far and infrared lights, 8+ pounds of amethyst crystals and releases negative ions for a deeply relaxing experience. Benefits include joint pain relief and deep muscular relaxation.
DO NOT USE THE EREADA MAT IF YOU HAVE ANY OF THE FOLLOWING:
Have had an organ transplant
Are pregnant or nursing
Have a pacemaker or defibrillator
Diabetics may use with physician clearance only
No direct contact with the mat and silicon implants
Consult your physician if you have metal rods, pins, artificial joints or other surgical implants
Consult your physician if you use transdermal patches
Joovv Red Light Therapy
Red Light Therapy (photobiomodulation) increases energy production at the cellular level by stimulating mitochondria. The more energy our cells produce, the better we look, feel and perform. Benefits include: Reduced inflammation, increased collagen production, improved sleep by balancing circadian cycles, aids in thyroid regulation, boots male testosterone, balances mood and helps with Seasonal Affective Disorder, promotes cognitive function.
DO NOT PARTICIPATE IN JOOVV LED LIGHT THERAPY IF YOU HAVE ANY OF THE FOLLOWING:
Pregnant or Breastfeeding
Epilepsy or history of seizures
Taking any steroid injections
Taking photosensitive drugs
Have had Botox or fillers in the last 5 days
Stellar Waves Crystal Bed
Balance your chakras with our Stellar Waves Crystal Bed.
Using a proprietary light system, quartz crystals, binaural beats and aroma therapy, the Stellar Waves Crystal Light Bed is a powerful modality used to balance the physical, mental, emotional and spiritual areas of the body.
Benefits include stress reduction, deep relaxation, cells, tissues & systems rejuvenation.
DO NOT PARTICIPATE IN REFLEXOLOGY IF YOU HAVE ANY OF THE FOLLOWING:
Cuts, broken skin, broken bones strains or sprains, infections, varicose veins around ankle, or after any surgeries
Blockages in veins
1st Trimester of Pregnancy
Have a pacemaker (please get doctors approval)
Alternating High and Low Blood Pressure (please get doctors approval)
Lymphatic Cancer (Please get doctors approval)
Hemophilia (Please get doctors approval)
Organ Transplants (Please get doctors approval)
Reflexology Session
Reflexology stems from the ancient belief that “Qi” or “Vital Energy” flows through the body and that the vital energy can become blocked. Reflexology is the art of using a specific technique on the “Reflex Maps” found on the hands and feet that correspond to different points in the body.
Benefits may include reduced stress & anxiety, pain reduction and mood boost
If you/your child may have other conditions that make our services inappropriate. Consult with their doctor or medical advisor if you have further questions.
DO NOT PARTICIPATE IN INFRARED SAUNA IF YOU HAVE ANY OF THE FOLLOWING:
Pregnancy
Hemophilia
Fever
Sensitivity to Heat
Under the influence of Alcohol
Individuals with metal pins, rods, or artificial joints should consult their physician before entering an infrared sauna
Children under the age of 16 are not allowed in the infrared sauna
Elderly individuals taking prescription medication should consult their physician before entering an infrared sauna
Infrared Sauna: The Ultimate Calorie Burn and Detoxification Bio-hack
Unlike a traditional steam sauna, our infrared sauna allows the heat to penetrate the body without the uncomfortable high temps. You’ll still sweat it out, but the heat is bearable and relaxing.
Benefits of Infrared Sauna include:
Weight Loss
Detoxification
Pain Relief
Improved Circulation
Tissue Oxygenation
DO NOT USE INFRASONIC THERAPY IF YOU HAVE ANY OF THE FOLLOWING:
Pregnancy
Pacemaker or any other fitted or implanted devices
Infrasonic stress reduction in the meditation room
Experience deep relaxation in the meditation room as you melt into a zero gravity chair and snuggle into cozy blankets. You’ll be instantly mesmerized by the dazzling northern lights and star display throughout the room.
Couple this with an infrasonic therapy device designed to calm the nervous system by emitting sound waves to the body. You’ll leave feeling relaxed, restored and recharged.
Benefits include:
Improvement of stress resilience
Increased heart rate variability
Improved sleep
general WAIVER AND RELEASE
This is a release of liability and a waiver of certain legal rights.
By signing this agreement you:
Acknowledge that use of any of the aforementioned modalities involves risk of bodily injury, illness, disability or death, which may be compounded by negligent emergency response of the attendant. You acknowledge that you are voluntarily allowing you/your child to participate in services with knowledge of the dangers involved and accept and assume all risks and injury, illness, disability or death, whether caused by the condition of the facilities or equipment or the negligence of the attendant or otherwise. You acknowledge that frostbite is a specific risk that you assume.
Expressly waive and release any and all claims against Alpharetta Anti-Aging & Health Solutions, LLC (DBA The Healing Space) and its members, directors, employees, agents, affiliates, successors and assigns (which are collectively referred to as “the Company”), arising out of or attributable to your use of services, other than may arise from the gross negligence or intentional misconduct of the Company. You covenant not to assert any such claims against the Company, and forever release and discharge the Company from liability for any such claims.
Indemnify and hold harmless the Company from any loss, liability, damage, cost or expense arising out of or connected in any manner with your use of services, except as may arise from the gross negligence or willful misconduct of the Company.
Agree that this waiver and release is intended to be as broad and inclusive as permitted under law. You specifically acknowledge and agree that this agreement is not intended to be a general release subject to limitations and conditions that would otherwise apply under applicable state law and additionally agree to waive all general release limitations provided by applicable law.
GENERAL PROVISIONS:
This agreement shall be construed and interpreted as broadly as possible under the applicable law of the jurisdiction in which you use services provided by Alpharetta Anti-Aging & Health Solutions, LLC (DBA The Healing Space), with the words, terms, provisions, covenants, and remedies contained in this agreement to be enforceable to the fullest extent permitted by applicable law.
If any portion of this agreement is held invalid, the remainder shall not be affected and shall continue in full legal force and effect.
The terms of this agreement shall continue from this date forever and shall apply to each use of services provided by Alpharetta Anti-Aging & Health Solutions, LLC (DBA The Healing Space) without the need for you to resign this agreement.
This document constitutes the entire agreement regarding the use of services provided by Alpharetta Anti-Aging & Health Solutions, LLC (DBA The Healing Space) and supersedes all prior discussions and representations about the use, benefits or risks of all services.
You/your child may have other conditions that make above mentioned services inappropriate. Consult with your Doctor or Medical Advisor if you have questions as to whether any of the modalities offered are right for you.
The services and/or Health Coaching provided by Alpharetta Anti-Aging & Health Solutions, LLC (DBA The Healing Space) is not to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition
In participating in any therapies offered by Alpharetta Anti-Aging & Health Solutions, LLC, (DBA The Healing Space) you may be photographed, videoed or otherwise recorded for safety, monitoring and training purposes. You hereby consent to such usage of your imagery for all and any such purposes and hereby agree that Alpharetta Anti-Aging & Health Solutions, LLC (DBA The Healing Space), without any payment to you shall in all cases be the sole owner of all intellectual and other proprietary rights therein without any restriction whatsoever. I have read this Assumption of Risk, Waiver, and Release, fully understand its terms, and understand that I am giving up substantial rights including my right to sue Alpharetta Anti-Aging & Health Solutions, LLC (DBA The Healing Space) under certain circumstances. I acknowledge that I am signing this waiver freely and voluntarily.
covid-19 waiver
I acknowledge the contagious nature of the Coronavirus/COVID-19 and that the CDC and many other public health authorities still recommend practicing social distancing.
I further acknowledge that Alpharetta Anti-Aging & Health Solutions, LLC (DBA The Healing Space) has put in place preventative measures to reduce the spread of the Coronavirus/COVID-19.
I further acknowledge that Alpharetta Anti-Aging & Health Solutions, LLC (DBA The Healing Space) cannot guarantee that I will not become infected with the Coronavirus/Covid-19. I understand that the risk of becoming exposed to and/or infected by the Coronavirus/COVID-19 may result from the actions, omissions, or negligence of myself and others. I voluntarily seek services provided by Alpharetta Anti-Aging & Health Solutions, LLC (DBA The Healing Space) and acknowledge that I am increasing my risk to exposure to the Coronavirus/COVID-19. I acknowledge that I must comply with all set procedures to reduce the spread while attending my appointment.
I attest that:
I am not experiencing any symptoms of illness such as cough, shortness of breath or difficulty breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell.
I have not traveled internationally within the last 14 days.
I do not believe I have been exposed to someone with a suspected and/or confirmed case of the Coronavirus/COVID-19.
I have not been diagnosed with Coronavirus/Covid-19 and not yet cleared as non contagious by state or local public health authorities.
I am following all CDC recommended guidelines as much as possible and limiting my exposure to the Coronavirus/COVID-19.
I hereby release and agree to hold Alpharetta Anti-Aging & Health Solutions, LLC (DBA The Healing Space) harmless from, and waive on behalf of myself, my heirs, and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself and/or property that may be caused by any act, or failure to act of Alpharetta Anti-Aging & Health Solutions LLC (DBA The Healing Space), or that may otherwise arise in any way in connection with any services received from Alpharetta Anti-Aging & Health Solutions, LLC (DBA The Healing Space). I understand that this release discharges Alpharetta Anti-Aging & Health Solutions, LLC (DBA The Healing Space) from any liability or claim that I, my heirs, or any personal representatives may have against the salon with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any services received from Alpharetta Anti-Aging & Health Solutions, LLC (DBA The Healing Space). This liability waiver and release extends to Alpharetta Anti-Aging & Health Solutions, LLC (DBA The Healing Space) together with all owners, partners, and employees.
The term of this waiver is indefinite.
reflexology disclaimer
Reflexology is a natural, non-invasive, complementary therapy that treats the whole body through the stimulation of reflex points located on the feet. Reflexology works with the body’s energy flow to assist its own natural healing process. By applying pressure to specific areas of the feet which correspond to all parts, glands and organs of the body, Reflexology stimulates nerve pathways and improves the flow of blood and lymphatic fluids, helping the body to restore and maintain balance. Reflexology is an effective preventative therapy for maintaining health and well being, as well as a way to assist in relieving a multitude of health challenges.
Can Reflexology cure disease?
Reflexology is a unique modality in the alternative health field which promotes better health and well-being. Reflexology allows the body, mind and emotions to relax, thereby helping achieve homeostasis. The body heals itself, guided by its own innate wisdom and processes, rather than by the reflexologist directing the healing process. Reflexology is not intended to replace conventional medical care.
I know and understand the following:
A Reflexologist is NOT a medical doctor.
A Reflexologist does not practice medicine.
A Reflexologist does not diagnose, treat or cure any specific illness.
A Reflexologist does not prescribe or adjust medication.
The client has the freedom of choice to accept or reject the session in whole or in part either before or after the session begins.
Because a reflexologist should be aware of existing physical conditions, I have stated all my known medical conditions and take it upon myself to keep the reflexologist updated on my physical health.
My signature gives consent for the session and acknowledges that reflexology is not a substitute for medical examination or treatment. It is recommended that I see a physician for any physical ailment that I might have. If I have been diagnosed by a licensed health professional as having any disease, injury or other physical or mental condition, I understand that I should inform the person who made the diagnosis about the treatment I will be receiving and whether or not I intend to discontinue any treatment or therapy which has been previously ordered, prescribed or recommended by a licensed health professional. I understand that by discontinuing any such treatment or therapy, I assume responsibility for any negative outcome resulting from discontinuing that treatment or therapy.
REFLEXOLOGY IS NOT A SUBSTITUTE FOR MEDICAL CARE. IF YOU ARE EXPERIENCING ANY SPECIFIC MEDICAL PROBLEM AND HAVE NOT SEEN YOUR MEDICAL DOCTOR, IT IS RECOMMENDED THAT YOU DO SO TODAY.
reiki disclaimer
I know and understand the following:
Reiki practitioners do not diagnose conditions, nor do they prescribe or perform medical treatments, prescribe substances, nor interfere with medical treatments of a licensed medical professional.
Reiki does not take the place of medical care.
I understand that Reiki practitioners are providing Reiki at my request and are not responsible for the outcome of the session.
Reiki treatments are given fully clothed on a massage table.
Blankets, bolsters and soft music may be used for additional comfort or relaxation benefits.
My signature gives consent for the session and acknowledges that reiki is not a substitute for medical examination or treatment. It is recommended that I see a physician for any physical ailment that I might have. If I have been diagnosed by a licensed health professional as having any disease, injury or other physical or mental condition, I understand that I should inform the person who made the diagnosis about the treatment I will be receiving and whether or not I intend to discontinue any treatment or therapy which has been previously ordered, prescribed or recommended by a licensed health professional. I understand that by discontinuing any such treatment or therapy, I assume responsibility for any negative outcome resulting from discontinuing that treatment or therapy.
REIKI IS NOT A SUBSTITUTE FOR MEDICAL CARE. IF YOU ARE EXPERIENCING ANY SPECIFIC MEDICAL PROBLEM AND HAVE NOT SEEN YOUR MEDICAL DOCTOR, IT IS RECOMMENDED THAT YOU DO SO TODAY.