Resetcryo Waiver Form
Resetcryo Waiver Form

Waiver & Medical Questionnaire

ResetCryo

Please fill out the following form to help us understand your physical condition, your treatment objectives, know whom to contact in case of an emergency, and to acknowledge that you have read and understand the Terms & Conditions of Services provided by Reset Cryotherapy.

Gender
Are you currently suffering from a medical condition, illness, injury, allergies or skin conditions?
Are you pregnant
Have you displayed any COVID 19 symptoms in the last 14 days?

Thanks for submitting!