Please take a moment to carefully read the following information and sign by typing your initials below. If you have a specific medical condition or specific symptoms, herbal pelvic/vaginal steam bath may be contraindicated. A referral from your primary care provider may be required prior to service being provided.
I understand that if I experience any pain or discomfort during any session, I will immediately inform
the practitioner so that the temperature may be adjusted to my level of comfort.
I further understand that pelvic/vaginal steam baths should not be construed as a substitute for medical
examination, diagnosis, or treatment and that I should see a physician, chiropractor, or other qualified
medical specialist for any physical or mental ailment of which I am aware.
I understand that the practitioner facilitating the pelvic/vaginal steam bath is not qualified to diagnose,
prescribe, and/or treat any physical or mental illness, and that nothing said in the course of any session
given should be construed as such. Because pelvic/vaginal steam baths should not be performed under certain medical conditions, I affirm that I have stated all of my known medical conditions, and answered all questions accurately, completely, and honestly.
I agree to keep the practitioner updated as to any changes in my medical profile and understand that
there shall be no liability on the practitioner's part should I forget to do so.
I am aware and I understand there is a possibility that my IUD can come out due to a Vaginal Steam
Bath. This has been explained to me and I am going ahead with the Vaginal Steam Bath at my own risk.
I understand that I am having this pelvic/vaginal steam bath at my own risk and hereby release
Jeevan Singh from any liability.