top of page

Consent Form; for returning customers

Consent Form; for returning customers

2. Have there been any changes to your health since your filled in your medical questionnaire?
Yes
No

Before proceeding with the treatment, we want to ensure that you are fully informed about the procedure, its associated risks, and your rights as a patient. Please carefully review the following consent form:



I understand that participation in services provided by Vitamin Clinics, TWG International carries inherent risks. I confirm that I have truthfully disclosed all relevant information regarding my medical history, including prescription medications, over-the-counter drugs, and any recreational substances I may use. I acknowledge that failure to disclose such information may result in serious complications.



I accept full responsibility for any medical care required as a result of the services provided by vitamin Clinics, TWG International. Any medical treatment sought for side effects or reactions will be at my own expense. I understand that the sole risk of injury or harm resulting from my participation in Vitamin Clinics, TWG International services rests entirely with me if I fail to disclose pertinent health conditions, medications, or drug use beforehand.



I confirm that I have never been diagnosed with or treated for any conditions that may pose increased risk during participation in the services provided by Vitamin Clinics, TWG International. I understand that Vitamin Clinics, TWG International does not screen for or provide care related to such conditions.

I acknowledge that unforeseeable complications may arise, and I trust the practitioner to exercise judgment during the procedure. I am fully aware of the risks and benefits and have had all my questions addressed. I retain the right to consent or refuse any proposed treatment at any time.



By signing this form, I consent to any additional procedures deemed necessary by the practitioner or others associated with TWG International. I understand that my information will be kept confidential and shared only with TWG International in compliance with GDPR and data protection regulations.



My signature below affirms that I have read, understood, and agree to the foregoing consent. I acknowledge receipt and review of the pre- and post-care treatment information document. I voluntarily authorize the proposed treatment process and release TWG International from any future claims related to the described treatment.

GDPR & DATA PROTECTION:


I understand that my information will be kept strictly confidential and will not be shared with anyone but with Vitamin Clinics, TWG International. By signing below I am agreeing to information being shared with Vitamin Clinics, TWG International. My signature on this form affirms that I have given my consent to IV therapy with any different or further procedures which, in the opinion of my physician(s) or other associated with this practice, may be indicated.

I have answered these questions to the best of my understanding *

bottom of page