Patient Consent to Medical Services.
Last Updated: November 11, 2023
By checking the "AGREE" box on our site, you're confirming your ongoing agreement to the terms outlined here. This consent supplements our Terms of Service, a crucial read before booking any services through our platform. Please carefully review the following information.
1. Services and Provider Information:
EMAAB IV Bar LLC offers mobile IV therapy services. Our qualified healthcare professionals, including nurses and other licensed healthcare providers, will administer the selected treatments directly to you.
2. Consent to Treatment:
By engaging in our IV therapy services, you willingly consent to the administration of intravenous treatments by our healthcare professionals. You retain the right to withdraw this consent at any time by discontinuing the services.
3. No Guarantees:
You understand that the effectiveness of IV therapy may vary, and specific outcomes cannot be guaranteed. Results depend on individual factors and health conditions.
4. Complete Medical History:
It is crucial to let your healthcare providers know about any health conditions, medications, or supplements you're taking. Some treatments may not be safe if they're not aware of your full health picture. If you don't provide accurate information, it could impact the success and safety of your treatment. Importantly, if you choose not to share this information, the healthcare providers and EMAA IV Bar LLC won't be held responsible for any consequences that might arise. Your honesty is key to ensuring the best possible care for you.
5. Attention to Female Clients of Childbearing Age:
If you are capable of conceiving or currently breastfeeding, it's important to be aware that certain treatments might pose risks during pregnancy and lactation. To ensure your safety, we kindly request that you promptly inform your healthcare provider if you are pregnant, suspect you might be pregnant, are planning to become pregnant, or if you are currently breastfeeding. Your timely and accurate disclosure allows us to tailor our care to your unique circumstances and provide you with the best possible guidance and support. Your well-being is our top priority, and your open communication ensures that we can deliver care that aligns with your individual needs.
5. Health Information Disclosure:
For your safety, it is imperative to disclose your complete medical history, including any current medications or supplements. Failure to provide accurate information may impact the effectiveness and safety of the IV therapy.
5. Risks and Benefits:
EMAAB IV Bar LLC will inform you of the potential risks and benefits associated with the chosen IV therapy. This information enables you to make informed decisions about proceeding with the treatment.
6. COVID-19 Risks:
Acknowledging the ongoing global health situation, you understand and assume the risk of potential exposure to COVID-19 during in-person IV therapy sessions. Any symptoms consistent with COVID-19 in yourself or those around you should be reported promptly.
7. Confidentiality:
We respect your privacy. Confidentiality laws and practices, including the Health Insurance Portability and Accountability Act (HIPAA), will be upheld to protect your medical information.
8. Financial Responsibility:
You are responsible for the payment of all services received from EMAAB IV Bar LLC. We will bill you for the provided services, and it is your responsibility to understand and fulfill the financial obligations associated with the selected treatments.
9. Withdrawal of Consent:
You retain the right to withdraw your consent for IV therapy services at any time. Please communicate your decision to discontinue services promptly.
10. Notice of Privacy Practices:
You acknowledge receipt of EMAAB IV Bar LLC's Notice of Privacy Practices, detailing how your medical information may be used and disclosed.
Conclusion:
By checking the "AGREE" box or proceeding with our IV therapy services, you confirm that you have read, understood, and agreed to the terms outlined in this Patient Consent. If you have any questions, feel free to contact us at emaaivbar@gmail.com
Thank you for choosing EMAAB IV Bar LLC for your IV therapy needs. We look forward to contributing to your wellness journey.
EMAAB IV Bar LLC - emaaivbar@gmail.com