Daniela Bobsin Beauty IV Vitamin Drip Therapy is an elective therapy designed to promote the feeling of health and wellness through the use of saline fluid hydration. Individual therapies are aimed at targeting specific symptoms, such a fatigue, dehydration, hangovers, and exercise and

muscle fatigue and soreness. IV Vitamin Drip Therapies can also provide a boost to your immune system and metabolism.  The vast majority of patients will feel a noticeable improvement following a Daniela Bobsin Beauty IV Vitamin Drip Therapy. Every individual is different, however, and there is no guarantee as to the extent and duration of improvement experienced, nor is there any guarantee that you will fell better at all. It is not uncommon for a patient to notice improvement the day following a treatment.It is important to note that feelings and symptoms of general malaise and poor health may indicate an underlying medical condition. Daniela Bobsin Beauty IV Vitamin

Drip Therapy does not replace an assessment by your family physician, and does not provide any medical diagnostic or testing. Improvement following an IV Vitamin Drip Therapy treatment does not preclude the coexistence of an underlying medical disorder.It is the goal of Daniela

Bobsin Beauty Medical Clinic to provide our patients with a safe and comfortable experience. Therefore, we will reduce treatment to any patient, we deem to be an unsuitable candidate for IV Vitamin Drip Therapy, and to

those who express symptoms that are not consistent with the indications for use. Additionally, we will not provide treatment to any patient who is unable to demonstrate their clinical sobriety in order to provide legal

consent to treatment. Insertion of an IV catheter are common procedures,

and rarely involve any serious risks or side effects. Complications may

include pain, bleeding, bruising, local soft tissue injury, infection and blood

clots. IV Vitamin Drip Therapies may result in fluid overload and shortness of breath in certain underlying medical conditions, such as hear or kidney disease. You are advised to seek immediate medical attention should any of these complications arise. Daniela Bobsin RN (BScN) may choose to terminate your treatment session in the event of a medical complication or

concern.Individuals who are allergic to Sulfa and Sulfa based medications

may experience a cross- reactivity allergic type reaction to intramuscular and/or intravenous Glutathione injections. Glutathione is an anti oxidant medication found in Daniela Bobsin Beauty IV Hydration Therapy (Boost).

Therefore, any individual who is allergic to Sulfa will not obtain medical permission to receive these treatment therapies.I clearly understand:

-The above disclaimer- That during the course of treatment, I am not permitted to leave the premises or visit the restroom while the IV is in

place.

-That individuals react differently to medication and hydration, and there is no guarantee that I will feel better.

-That I will not proceed with treatment if I am under the influence of drugs or alcohol.

-That I am not allergic to Sulfa or Sulfa based medications.

I HEREBY ACKNOWLEDGE THAT I HAVE FULLY DISCLOSED, TO THE

BEST OF MY KNOWLEDGE, MY COMPLETE MEDICAL HISTORY AND

HAVE ANSWERED ALL QUESTIONS IN THE MEDICAL HEALTH

QUESTIONNAIRE A HONESTLY AND ACCURATELY AS POSSIBLE.

DANIELA BOBSIN BEAUTY MEDICAL AESTHETICS IS NOT

RESPONSIBLE FOR ANY ADVERSE EVENTS THAT OCCUR AS A

RESULT OF FAILURE TO DISCLOSE HEALTH INFORMATION AS

REQUESTED.

I acknowledge that I have had the opportunity to consult with Daniela Bobsin, RN and have asked any questions that I may have related to the

procedure I am about to undergo. Daniela Bobsin, RN has reviewed my

health history and medications with me, and I agree that I have not withheld

any medical information from her or her Nurse Practioner. I have read through and understand all of the information, terms, complications, and conditions pertaining to the IV Vitamin Drip Therapy, and do herby provide my consent to undergo treatment: