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Red Light Therapy Form

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DESCRIPTION OF SERVICE

Red Light Therapy (“RLT”) provided by The Nest Beauty Services uses low-level wavelengths of red or near-infrared light for cosmetic and wellness purposes. RLT is non-medical and not intended to diagnose, treat, or cure any medical condition. Results vary per individual.




CLIENT ACKNOWLEDGMENT OF RISKS

I understand and acknowledge that Red Light Therapy involves potential risks, including but not limited to:

  • Eye damage if protective eyewear is not worn.

  • Skin irritation, redness, or burns.

  • Photosensitivity reactions, particularly when taking certain medications or using certain skincare products.

  • Hormonal or thyroid interactions, including unknown or unpredictable responses.

  • Cancer concerns, including potential contraindications for individuals with active cancer, a history of skin cancer, suspicious lesions, or who are under oncology care.



I understand that Red Light Therapy is not recommended for individuals who are pregnant, have epilepsy, have active malignancies, have uncontrolled thyroid disorders, or who take photosensitizing medications.




CLIENT RESPONSIBILITY

I agree that it is my responsibility to:

  • Disclose all medical conditions, medications, and concerns prior to treatment.

  • Notify The Nest Beauty Services of any changes in my health before future sessions.

  • Use the required protective eyewear during every session without exception.

  • Follow all instructions provided by staff regarding timing, positioning, and safety.



I acknowledge that failure to disclose accurate information may increase risk of harm.



NO MEDICAL CLAIMS


I understand that:

  • Red Light Therapy is not a medical treatment.

  • Staff at The Nest Beauty Services do not provide medical advice.

  • I should consult my physician before beginning any new wellness service.



ASSUMPTION OF RISK

I voluntarily choose to participate in Red Light Therapy and assume all risks, known and unknown, associated with this service, including those that may result in physical or emotional injury.




RELEASE, HOLD HARMLESS & INDEMNIFICATION

In consideration for receiving Red Light Therapy at The Nest Beauty Services, I agree to the following:

Release & Hold Harmless

I hereby release, discharge, and hold harmless The Nest Beauty Services, its owners, employees, contractors, representatives, and insurers from any and all liability, claims, damages, or actions arising out of or related to my participation in Red Light Therapy.

Indemnification

I agree to indemnify and defend The Nest Beauty Services against any claim, demand, or lawsuit brought by me, on my behalf, or by any third party arising from my use of Red Light Therapy, except in cases of proven gross negligence or intentional misconduct by The Nest Beauty Services.




NO GUARANTEES

I understand that results vary, and The Nest Beauty Services makes no guarantees regarding outcomes, improvement, or effectiveness.




CONSENT TO TREAT

By signing below, I confirm that:

  • I have read and fully understand this waiver.

  • I have had the opportunity to ask questions.

  • I am not under the influence of drugs or alcohol.

  • I consent voluntarily to receive Red Light Therapy.



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