Privacy Policy of Cryo-X

Cryo-X operates the www.cryo-x.com website, which provides services for wellness, pain relief and athletic recovery.

This page is used to inform website visitors regarding our policies with the collection, use, and disclosure of Personal Information if anyone decided to use our Service, the Website www.cryo-x.com.

If you choose to use our Services, then you agree to the collection and use of information in relation with this policy. The Personal Information that we collect are used for providing and improving the Services we offer. We will not use or share your information with anyone except as described in this Privacy Policy.

The terms used in this Privacy Policy have the same meanings as in our Terms and Conditions, which is accessible at Website URL, unless otherwise defined in this Privacy Policy.

Information Collection and Use

For a better experience while using our Services, we may require you to provide us with certain personally identifiable information, including but not limited to your name, phone number, and postal address. The information that we collect will be used to contact or identify you.

Log Data

We want to inform you that whenever you visit our site, we collect information that your browser sends to us that is called Log Data. This Log Data may include information such as your computer's Internet Protocol (“IP”) address, browser version, pages of our Service that you visit, the time and date of your visit, the time spent on those pages, and other statistics.

Cookies

Cookies are files with small amount of data that is commonly used an anonymous unique identifier. These are sent to your browser from the website that you visit and are stored on your computer's hard drive.

Our website uses these “cookies” to collection information and to improve our Service. You have the option to either accept or refuse these cookies, and know when a cookie is being sent to your computer. If you choose to refuse our cookies, you may not be able to use some portions of our Service.

Service Providers

We may employ third-party companies and individuals due to the following reasons:

To facilitate our Services;
To provide the Services on our behalf;
To perform Service-related services; or
To assist us in analyzing how our Services are used.
To Process Credit Cards

We want to inform our Service users that these third parties have access to your Personal Information. The reason is to perform the tasks assigned to them on our behalf. However, they are obligated not to disclose or use the information for any other purpose.

Security

We value your trust in providing us your Personal Information, thus we are striving to use commercially acceptable means of protecting it. But remember that no method of transmission over the internet, or method of electronic storage is 100% secure and reliable, and we cannot guarantee its absolute security.

Links to Other Sites

Our Service may contain links to other sites. If you click on a third-party link, you will be directed to that site. Note that these external sites are not operated by us. Therefore, we strongly advise you to review the Privacy Policy of these websites. We have no control over, and assume no responsibility for the content, privacy policies, or practices of any third-party sites or services.

Changes to This Privacy Policy

We may update our Privacy Policy from time to time. Thus, we advise you to review this page periodically for any changes. We will notify you of any changes by posting the new Privacy Policy on this page. These changes are effective immediately, after they are posted on this page.

Contact Us

If you have any questions or suggestions about our Privacy Policy, do not hesitate to contact us.

Loading...

Consent and Authorization for Vitamin Injections and IV Therapy at Cryo-X

Welcome to Cryo-X! We are thrilled you’ve chosen us for your vitamin injection or IV therapy. To ensure your safety and provide the best care, please carefully read and complete this consent form. If you have any questions, please ask your practitioner before signing. Thank you for trusting Cryo-X!


Review Privacy Policy

1. Your Right to Informed Consent

You have the right to understand the procedure, its risks, benefits, and alternatives before consenting. Except in emergencies, we will not proceed until you’ve received this information and given your consent.

Procedure: A needle is inserted into your vein (for IV therapy) or muscle (for injections) to deliver a blend of vitamins, minerals, and fluids tailored to your needs.

Potential Risks and Side Effects: While generally safe, vitamin therapy may cause:

  • Discomfort, bruising, or pain at the injection site.
  • Vein inflammation (phlebitis), causing swelling or redness.
  • A warm sensation during or after the procedure.
  • Temporary dizziness from low blood pressure.
  • Temporary shakiness from low blood sugar.
  • Rarely, a severe allergic reaction. Our staff is trained to handle emergencies.


2. Your Right to Consent or Refuse

You may consent to or refuse the procedure at any time before it begins. By signing this form, you consent to the described therapy and any minor adjustments your practitioner discusses with you.

3. Qualified Practitioners

The procedure will be performed by a licensed Registered Nurse, Nurse Practitioner, or Physician trained in IV and injection therapy.

Consent Confirmation

By initialing below, I confirm:

  • I understand the information in this form.
  • The procedure, risks, benefits, and alternatives have been explained by a qualified practitioner.
  • I have all the information I need to make an informed decision.
  • I authorize and consent to the vitamin injection or IV therapy described above.



May 9, 2025

Arbitration Agreement – Please Read Carefully

I confirm I’ve had the opportunity to discuss the procedure, its purpose, and risks with a Cryo-X practitioner. I understand that not all risks can be predicted, and I don’t expect Cryo-X to foresee every outcome.

I agree that any legal dispute or claim related to Cryo-X’s services, including claims of medical malpractice (e.g., if services were unnecessary or improperly performed), will be resolved through binding arbitration, not a court or jury trial. Arbitration involves a neutral third party making a final decision.

  • Arbitration will follow the rules of the American Health Law Association (AHLA) Alternative Dispute Resolution Service.
  • It will take place at a mutually agreed location or Cryo-X’s office if no agreement is reached.
  • This agreement applies to all claims by me or my spouse, heirs, children, guardians, or parents related to Cryo-X’s services.
  • I hold Cryo-X harmless from claims, except for gross negligence or willful misconduct.

By signing below, I confirm:

  • I am 18 or older and of sound mind.
  • I have read, understand, and agree to this arbitration agreement.
  • I consent to the vitamin injections or IV therapy described above.

May 9, 2025

For questions, contact Cryo-X at (817)-733-0116 or info@cryo-x.com.

Please select who will be participating...
AdultMinor
Continue
First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*
Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!