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I, _______________________ understand that the
Crystal Light Bed Therapy session I receive is
provided for the basic purpose of relaxation and
chakras balancing.
I will also let the Crystal Light Bed operator know
if I need the temperature adjusted, the music
changed, or the lights dimmed.
I further understand that Crystal Light Bed Therapy
session should not be used as a substitute for
medical examination, diagnosis, or treatment and
that I should see a physician or other qualified
medical specialist for any mental or physical
ailment that I am aware of.
I am aware that the Crystal Bed Therapy is working
by flickering and flashing light and color, and I
have no obligation using this kind of treatment.
By signing this form, I hereby release Crystal Light
Bed Therapy owner, operators from any and all
liability for future injuries or illnesses due to my
participating session.
I have read, understand, and agree to the content of
this Professional Disclosure Form and Release.
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