Digital Liability Waiver

Consent and Acknowledgment of Risks

I voluntarily consent to receive services from Lymphedema Therapy of Alaska and/or Holistic Alaska, including occupational therapy and related services, lymphedema care, manual lymphatic drainage, compression services, hyperbaric oxygen therapy (HBOT), red light therapy using the Max Miracle 9600, visualization, guided imagery, BrainTap, molecular hydrogen inhalation, and other services I select.

I understand these services do not replace medical care from my physician or prescribed medications. Clinic staff do not diagnose medical conditions or prescribe medication. I will tell my provider about relevant medical conditions, injuries, medications, and changes in my health. I understand that my health may affect the risks of a service.

Possible Risks and Effects

For Hyperbaric Oxygen Therapy (HBOT): Risks may include anxiety or claustrophobia, ear or sinus pressure or pain, temporary fluid or fullness in the ears, temporary vision changes, progression of cataracts, fatigue or increased energy, and low blood sugar for people with diabetes. Before each session, I will tell the technician if I have a current or previous pneumothorax, significant lung disease, severe heart failure with ejection fraction of 30% or lower, or current wheezing or worsening breathing symptoms. I understand the session may be postponed until my condition is assessed and any required medical clearance is received. I will breathe normally, follow staff instructions, and immediately report ear pain, discomfort, or other symptoms.

For Red Light Therapy (Max Miracle 9600 Bed): Possible effects may include warmth, mild skin redness, light sensitivity, fatigue or relaxation, dizziness when standing, or skin irritation. I will tell the provider if I am pregnant, have a photosensitive condition or light-sensitive seizure disorder, take medication that increases light sensitivity, have active cancer or a serious medical condition, or have recently had surgery or a skin procedure. I will follow instructions about protective eyewear and equipment use.

I understand that individual responses vary and results are not guaranteed. I may ask questions, request an adjustment, or stop a session at any time. Staff may also end a session if needed. I will follow safety instructions and report discomfort promptly.

Release of Liability

I understand that participation involves risks, including the risks described above. To the extent permitted by law, I accept the risks inherent in the services I choose. I release Lymphedema Therapy of Alaska, Holistic Alaska, Jeana Kaufman, and the employees and contractors providing services from claims for injury, illness, death, or property loss arising from my participation, including claims based on ordinary negligence.