Privacy policy
By entering your name on this form and/or participating in a vibration plate demonstration, you voluntarily choose to participate in Lymphora vibration therapy and assume all risks associated with this treatment.
I am aware that the treatment is not a substitute for professional medical advice, diagnosis, or treatment. In consideration of being permitted to participate in Lymphora vibration therapy, I hereby release, waive, discharge, and hold harmless Lymphora, its owners, employees, agents, and representatives from any and all liability, claims, demands, actions, or causes of action whatsoever arising out of or related to any loss, damage, or injury, including death, that may be sustained by me, or to any property belonging to me, whether caused by the negligence of the releasees or otherwise, while participating in such therapy. I agree to indemnify and hold harmless Lymphora, its owners, employees, agents, and representatives from any loss, liability, damage, or costs, including court costs and attorney fees, that they may incur due to my participation in Lymphora vibration therapy, whether caused by negligence or otherwise.
I understand that Lymphora devices impart vibrational frequencies into the body. I have truthfully answered the above list of contra-indications for this therapy. Lymphora does not prescribe medical treatments or diagnoses. It is recommended that I see a physician for any physical ailment that I may have. I have stated all my known medical limitations. Considering the treatment offered, I agree that I will not institute any suit or claim against Lymphora, its representatives, or practitioners for any damage, loss, or injury to either person or property. I am in good health and have no physical limitations which should affect my safe use of the devices. I additionally authorize Lymphora with photo rights for distributing any pictures without my name for marketing purposes if appropriate. I am at least 18 years of age and otherwise legally competent to sign this agreement. This release shall be effective and binding upon my assigned and me.
By submitting this information electronically, I am agreeing to all of the above mentioned terms and conditions.
By entering your contact information, you agree to receive emails and/or text messages from us for general communication, updates, promotions, and marketing purposes. Message and data rates may apply. You can unsubscribe at any time by clicking the unsubscribe link in emails or replying STOP to text messages.