Acknowledgement of Risks Associated with Chiropractic Treatment Sample Clauses

Acknowledgement of Risks Associated with Chiropractic Treatment. Member understands and acknowledges that all chiropractors associated or affiliated with The ChiroSpot® facilities are licensed professionals who are required to comply with existing state and federal laws and licensing regulations. Member acknowledges that chiropractic services can be hazardous to one’s health and can result in injury, prolonged soreness or sharp, extreme pain. Member acknowledges that all chiropractic services that Member will receive through the membership will be performed only by licensed chiropractors. Neither We, nor any chiropractors performing professional services at any The ChiroSpot® facility, nor any other person or entity, guarantee or warrant any certain results or outcomes from the chiropractic services you received through the membership. CS Chiropractic Services, LLC dba The ChiroSpot® is not liable to you for the independent professional health care decisions, services, and advice you receive from licensed chiropractors through your membership. Initials MEMBER ACKNOWLEDGMENT By signing below Member (and Member's parent or guardian, as applicable) acknowledges that Member (and Member's parent or guardian, as applicable) has read this Membership Agreement and the Terms and Conditions of Membership in their entirety, has had the opportunity to discuss same with a member of our staff, and fully understands and accepts all of the obligations, rights, responsibilities, liabilities and waivers under the Membership Agreement and Terms and Conditions of Membership. Member (and Member's parent or guardian, as applicable) further acknowledges that the recurring payment provisions (charges to debit or credit card), automatic renewal provisions, and cancellation procedures and applicable dates have been thoroughly explained. Executed this day of , 20 . Member’s Signature Date / / Parent/Guardian Signature Date / / TERMS AND CONDITIONS OF MEMBERSHIP
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