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Please fill out this Assisted Stretch Waiver before your first appointment. Thank you!

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I hereby give my full consent to The Pagano Method procedures, including assessments to be conducted in managing my assisted stretching program. I understand that in this assisted stretching session, the fitness professional will use his/her bare hands throughout the entire session. As well as including, but not limited to use of a mechanical device (massage gun) in order to stretch the body. I understand that in such movement, I may feel and/or hear some popping of my joint(s). I have been informed that after each session some symptoms may occur, such are the known risks: Soreness or Increased painby which may occur temporarily after the first few sessions or longer. Burns or bruises. With the use of devices (vibravussor, I understand that burns or temporary soreness or bruising might occur.  Nausea or dizziness. In this event where these symptoms are felt, I shall inform my fitness professional right away.  Stroke. I am informed that there has been no known direct association between assisted stretching and stroke. However, for safety purposes, I shall inform my fitness professional of any symptom of neck pains/ headache which are known symptoms of a stroke. Pregnancy and stretching, if pregnant you have provided a document signed by your medical provider that you are cleared to participate in this assisted stretching program. Finally, I understand that this program is not a perfect or exact science and is not an alternative method that guarantees results.


CONFIRMATION I have read the information above about the Pagano Method assisted stretching program and it was discussed and explained to me by a fitness professional. I was given the opportunity to ask questions and all of which were answered to my satisfaction. I have evaluated all risks and benefits and I have decided to undergo the program recommended, and I hereby give my full consent.

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