{"id":259,"date":"2021-06-04T11:27:26","date_gmt":"2021-06-04T15:27:26","guid":{"rendered":"https:\/\/myskincareclub.com\/forms\/?page_id=259"},"modified":"2021-06-04T11:35:58","modified_gmt":"2021-06-04T15:35:58","slug":"iv-vitamin-drip-therapy-consent","status":"publish","type":"page","link":"https:\/\/myskincareclub.com\/forms\/iv-vitamin-drip-therapy-consent\/","title":{"rendered":"IV VITAMIN DRIP THERAPY CONSENT"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"259\" class=\"elementor elementor-259\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3ef936c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3ef936c\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-602cdae\" data-id=\"602cdae\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7d21902 elementor-widget elementor-widget-heading\" data-id=\"7d21902\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">IV VITAMIN DRIP THERAPY CONSENT<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-abbff79 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"abbff79\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-51ea7d5\" data-id=\"51ea7d5\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d47d4b5 elementor-widget elementor-widget-text-editor\" data-id=\"d47d4b5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>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<\/p><p>muscle fatigue and soreness. IV Vitamin Drip Therapies can also provide a boost to your immune system and metabolism.\u00a0 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<\/p><p>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<\/p><p>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<\/p><p>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<\/p><p>consent to treatment. Insertion of an IV catheter are common procedures,<\/p><p>and rarely involve any serious risks or side effects. Complications may<\/p><p>include pain, bleeding, bruising, local soft tissue injury, infection and blood<\/p><p>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<\/p><p>concern.Individuals who are allergic to Sulfa and Sulfa based medications<\/p><p>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).<\/p><p>Therefore, any individual who is allergic to Sulfa will not obtain medical permission to receive these treatment therapies.I clearly understand:<\/p><p>-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<\/p><p>place.<\/p><p>-That individuals react differently to medication and hydration, and there is no guarantee that I will feel better.<\/p><p>-That I will not proceed with treatment if I am under the influence of drugs or alcohol.<\/p><p>-That I am not allergic to Sulfa or Sulfa based medications.<\/p><p>\u00a0<\/p><p>I HEREBY ACKNOWLEDGE THAT I HAVE FULLY DISCLOSED, TO THE<\/p><p>BEST OF MY KNOWLEDGE, MY COMPLETE MEDICAL HISTORY AND<\/p><p>HAVE ANSWERED ALL QUESTIONS IN THE MEDICAL HEALTH<\/p><p>QUESTIONNAIRE A HONESTLY AND ACCURATELY AS POSSIBLE.<\/p><p>DANIELA BOBSIN BEAUTY MEDICAL AESTHETICS IS NOT<\/p><p>RESPONSIBLE FOR ANY ADVERSE EVENTS THAT OCCUR AS A<\/p><p>RESULT OF FAILURE TO DISCLOSE HEALTH INFORMATION AS<\/p><p>REQUESTED.<\/p><p>\u00a0<\/p><p>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<\/p><p>procedure I am about to undergo. Daniela Bobsin, RN has reviewed my<\/p><p>health history and medications with me, and I agree that I have not withheld<\/p><p>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:<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7595c85 elementor-widget elementor-widget-wp-widget-frm_show_form\" data-id=\"7595c85\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wp-widget-frm_show_form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"frm_form_widget\"><div class=\"frm_forms  with_frm_style frm_style_formidable-style\" id=\"frm_form_18_container\" >\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_pro_form \" id=\"form_ivvitamindriptherapyconsent\" >\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_screen_reader\">IV Vitamin Drip Therapy Consent<\/legend>\r\n\r\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"18\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_18\" id=\"frm_hide_fields_18\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"ivvitamindriptherapyconsent\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_18\" name=\"frm_submit_entry_18\" value=\"7304d70deb\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/forms\/wp-json\/wp\/v2\/pages\/259\" \/><div id=\"frm_field_229_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_41a9w\" id=\"field_41a9w_label\" class=\"frm_primary_label\">Date\r\n        <span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_41a9w\" name=\"item_meta[229]\" value=\"04\/14\/2026\"  readonly=\"readonly\"  maxlength=\"10\" data-frmval=\"04\/14\/2026\" 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blank.\t\t\t<\/label>\n\t\t\t<input  id=\"field_6yoo5\" type=\"text\" class=\"frm_form_field form-field frm_verify\" name=\"item_meta[236]\" value=\"\"  \/>\n\t\t<\/div>\n\t\t<input name=\"frm_state\" type=\"hidden\" value=\"xgbTmpRrvI+5BluaOEpLIqBg22W8ENbhDPjvqFw\/QlcjS3KpEZyml5XwyM3Uji75\" \/><div class=\"frm_submit\">\r\n\r\n<button class=\"frm_button_submit frm_final_submit\" type=\"submit\"  >Submit<\/button>\r\n\r\n<\/div><\/div>\n<\/fieldset>\n<\/div>\n\n<\/form>\n<\/div>\n<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>IV VITAMIN DRIP THERAPY CONSENT 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 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-259","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/myskincareclub.com\/forms\/wp-json\/wp\/v2\/pages\/259","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/myskincareclub.com\/forms\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/myskincareclub.com\/forms\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/myskincareclub.com\/forms\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/myskincareclub.com\/forms\/wp-json\/wp\/v2\/comments?post=259"}],"version-history":[{"count":4,"href":"https:\/\/myskincareclub.com\/forms\/wp-json\/wp\/v2\/pages\/259\/revisions"}],"predecessor-version":[{"id":264,"href":"https:\/\/myskincareclub.com\/forms\/wp-json\/wp\/v2\/pages\/259\/revisions\/264"}],"wp:attachment":[{"href":"https:\/\/myskincareclub.com\/forms\/wp-json\/wp\/v2\/media?parent=259"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}