CONSENT FORM
I understand and acknowledge that I am voluntarily consenting to receive Intravenous (IV) Therapy and/or Intramuscular (IM) Injection treatment. I understand that IV therapy involves the insertion of a small needle into a vein to administer fluids, medications, vitamins, or other therapeutic substances. I understand that IM injections involve the insertion of a needle into muscle tissue to administer medications or therapeutic substances.
I acknowledge that, although IV Therapy and IM Injections are generally safe, there are inherent risks and potential side effects associated with these procedures. These risks include, but are not limited to:
- Infection at the site of needle insertion
- Bruising or collection of blood at the injection site
- Nausea, dizziness, or fainting spells
- Inflammation of the vein (phlebitis) or muscle tissue at the injection site, leading to pain, redness, and swelling
- Fluid or medication leakage into surrounding tissue, potentially causing damage or discomfort
- Allergic reactions, including rashes, itching, swelling, difficulty breathing, and in rare instances, cardiac arrest
- Nerve damage at the injection site (extremely rare)
- Hematoma (collection of blood) at the injection site
- Soreness or tenderness at the injection site lasting 24-48 hours
I understand that the risks and potential side effects listed above are not exhaustive, and other unforeseen risks may arise. I agree that if I experience any of these side effects, I will contact my provider and, if necessary, seek medical attention at my own expense. I understand that it is my responsibility to disclose any health condition or medication that might affect the treatment.
By signing below, I confirm that I have been fully informed of the potential risks, benefits, and complications and I voluntarily agree to undergo the treatment. I have had the opportunity to ask questions, and all my concerns have been addressed to my satisfaction. I release Tropic Hydration from any liability or claims arising from the treatment.