Loading...

 

Whole Body Cryotherapy

With Whole Body Cryotherapy (WBC) the body is exposed to ultra-low temperatures, triggering a systemic anti-inflammatory response. This modality was first utilized in Japan in 1978 to treat rheumatoid arthritis. Studies conducted over the last two decades have established WBC as a powerful treatment for inflammatory disorders and injuries. The accelerated production of collagen improves skin elasticity and texture, reversing skin aging and the appearance of cellulite.

WBC boosts the body's metabolic rate, accelerating weight loss outcomes.

Musculoskeletal:

The anti-inflammatory and analgesic properties of cryotherapy can drastically improve joint disorders such as rheumatoid- and osteoarthritis. Athletes are using whole body cryotherapy to recover from injuries and improve their performance. 

Skin:

Skin exposure to temperatures below 200 degrees Fahrenheit triggers the systemic release of anti-inflammatory cytokines, and decreases circulating pro-inflammatory cytokines. This internal response decreases inflammation in all areas of the body.

The rapid cooling of the skin activates the production of collagen (similar to lasers treatments of the face, where very hot temperatures are used). The skin regains elasticity and becomes smoother and more even-toned, significantly improving conditions such as cellulite and skin aging. Skin vessels and capillaries undergo severe vasoconstriction (to keep the core temperature from dropping), followed by vasodilation after the procedure. Toxins and other stored deposits are ushed out of the layers of the skin and blood perfusion is improved. The anti-inflammatory properties of cryotherapy are also used to treat chronic skin conditions such as psoriasis and dermatitis.

Endocrine:

The extreme cold exposure causes to the body to turn up its metabolic rate in order to produce heat. This effect lasts for hours to days after the procedure, causing the body to 'burn' up to 800 calories following the procedure. After several procedures, the increase in metabolic rate tends to last longer. Another 'survival reaction' to the extreme temperatures is the release of endorphins (hormones) that have analgesic and anti- inflammatory properties, and improve mood disorders. WBC has been studied for the successful treatment of medication resistant depressive disorders. 

Immune System:
Cryotherapy improves the function of the immune system and decreases stress levels.

Safety Instructions for Whole Body Cryotherapy:

1. You must wear cotton or wool socks (and underwear for men) to avoid chilblain (provided by Cryotherapy of The Pines).

2. Treatments are limited to 3 minutes per session. Overexposure to the cold temperatures may cause chilblain;

3. During treatment, you must avoid inhaling the nitrogen fumes; while non-toxic, they are devoid of oxygen and may cause fainting;

4. During treatment, you must keep your hands visible to the operator at the upper rim of the cryochamber as instructed;

5. You may end the procedure at any time if you experience any problems or anxiety;

6. Abnormal skin sensitivity to cold may be caused by certain foods, cosmetics, or medication, including but not limited to the following: Tranquilizers, High blood pressure medication;
7. A person who is less than (18) years of age may not use whole body cryotherapy without parental consent

8. It is important not to shave expose areas within 8 hours of a session.

Contraindications to using Cryotherapy:

Pregnancy, severe Hypertension (BP> 180/100), acute or recent myocardial infarction, unstable angina pectoris, arrhythmia, symptomatic cardiovascular disease, cardiac pacemaker, peripheral arterial occlusive disease, cold-activated asthma, venous thrombosis, acute or recent cerebrovascular accident, uncontrolled seizures, Raynaud's Syndrome, fever, Cryoglobulinemia, Cryo briongenemia, Agammaglobulinemia, Active Cancer, DVT, Acute infections, Certain medications (antipsychotic, alcohol), Cold intolerance/allergy to cold, Damaged skin, Claustrophobia, Hypothyroidism, symptomatic lung disorders, bleeding disorders, severe anemia, infection, claustrophobia, cold allergy, age less than 18 years (parental consent to treatment needed), acute kidney and urinary tract diseases. 

Precautions

Heart valve malfunction, Arrhythmia, Angina, A history of vein thrombosis and clotting, Excessive sweating

Risks of whole body cryotherapy/cryofacial/local cryotherapy:

Fluctuations in blood pressure (whole body cryotherapy only, due to peripheral vasoconstriction, blood pressure may brie y increase by up to 10 points systolically during treatment), allergic reaction to extreme cold (rare), anxiety, temporary redness of the skin, chillblain/skin burns/ scarring (very rare). 

Waiver of Liability and hold Harmless Agreement:

1. In consideration for using the cryotherapy treatments/machines (Equipment), I hereby release, waive, discharge, and hold harmless Cryotherapy of the Pines, its officers, servants, agents, employees and volunteers (hereinafter referred to as releasees) from any and all liability, claims, demands, actions and causes of action whatsoever arising out of or related to any loss, damage, or injury, that may be sustained by any person, while using the equipment or due to the use of the equipment.

2. I hereby confirm that no warranty or guarantee, or other assurance, has been made to me covering the results of the cryotherapy treatments, and I hereby relieve them and hold them harmless from all liabilities for injury or damage that may occur to me. I fully understand the administration of the process, including possible adverse reactions, side e ects, or other possible complications. It is understood that this consent is being given in advance of any administration of the process, and is being given by me voluntarily to use the Equipment.

3.I am fully aware of the risks and hazards connected with the use of the Equipment, including the risk of physical injury or disability as the result of such injury, and I am voluntarily participating in said Equipment usage, and entering the above named premises to engage in such usage. I voluntarily assume full responsibility for any risks of loss, property damage or personal injury that may be sustained, or any loss or damage to property as a result of being engaged in such an activity. I further hereby agree to indemnify and hold harmless the releasees from any loss, liability, damage or costs that may incur due to the use of Equipment by me.

4. It is my express intent that this Release and Hold Harmless Agreement shall bind the members of my family and spouse, if I am alive, and my heirs, assignees and personal representative, if I am not alive, and shall be deemed as a release, waiver, and discharge of the above named releasees. I hereby further agree that this Waiver of Liability and Hold Harmless Agreement shall be construed in accordance with the laws of the State of North Carolina.

5. I understand that the releasees will not be responsible for any medical costs associated with any injury.

6. I understand that the Equipment is designed for fittness and appearance enhancing use only by persons in good general health. I have been advised that if I suffer from any medical condition or illness whatsoever, I am not to use the Equipment without my doctor's written permission.

My signature below constitutes my acknowledgment that (1) I have read, understand, and fully agree to the foregoing consent, (2) the proposed cryotherapy process has been satisfactorily explained to me and I have all of the information I desire and (3), I hereby give my authorization and consent. This consent shall stand as long as I use the Equipment at the location now and in the future.

I have read the instructions for proper use of the facilities and do so at my own risk and hereby release the owners, operators, franchisers, or manufacturers, from any damage or harm that I might incur due to use of the facilities. 

In signing this release, I acknowledge and represent that I have read and understand the foregoing Waiver of Liability and Hold Harmless Agreement, I am at least eighteen (18) years of age and fully competent; and I execute this Release for full, adequate, and complete consideration fully intending to be bound by same.

Furthermore, I agree that I will comply with all instructions on the use of the cryotherapy devices and that I am using these services at my own risk. I agree to use all sessions within the terms of the contract dates and understand that refunds are not given on unused portions of purchased packages. 

First Client Name

First Name*

Middle Name

Last Name*

Phone*
First Client Date of Birth*
First Client Information
Cryotherapy should not be use if you have the following. Please select if you have the following.
PREGNANCY
COLD ACTIVATED ASTHMA
PACEMAKER
UNCONTROLLED HIGH BLOOD PRESSURE
OTHER HEART CONDITIONS
PRIOR HEART ATTACK
UNSTABLE CHEST PAINS
OPEN SORES
COLD ALLERGY
HISTORY OF BLOOD CLOTS
DISEASE OF BLOOD VESSELS
NERVE PAIN IN FEET OR LEGS

You may have other conditions that make whole body cryotherapy inappropriate. Consult with your doctor or medical advisor if you have questions as to whether whole body cryotherapy is right for you.

Women ONLY

Are you currently breastfeeding?*
No
Yes
Are you pregnant?*
No
Yes

How did you hear about us?

Please list medication are you are currently on.

Do you have any food, drug for other type of allergies?
First Client Signature*
Second Client Name

First Name*

Middle Name

Last Name*
Second Client Date of Birth*
Second Client Information
Cryotherapy should not be use if you have the following. Please select if you have the following.
PREGNANCY
COLD ACTIVATED ASTHMA
PACEMAKER
UNCONTROLLED HIGH BLOOD PRESSURE
OTHER HEART CONDITIONS
PRIOR HEART ATTACK
UNSTABLE CHEST PAINS
OPEN SORES
COLD ALLERGY
HISTORY OF BLOOD CLOTS
DISEASE OF BLOOD VESSELS
NERVE PAIN IN FEET OR LEGS

You may have other conditions that make whole body cryotherapy inappropriate. Consult with your doctor or medical advisor if you have questions as to whether whole body cryotherapy is right for you.

Women ONLY

Are you currently breastfeeding?*
No
Yes
Are you pregnant?*
No
Yes

How did you hear about us?

Please list medication are you are currently on.

Do you have any food, drug for other type of allergies?
Third Client Name

First Name*

Middle Name

Last Name*
Third Client Date of Birth*
Third Client Information
Cryotherapy should not be use if you have the following. Please select if you have the following.
PREGNANCY
COLD ACTIVATED ASTHMA
PACEMAKER
UNCONTROLLED HIGH BLOOD PRESSURE
OTHER HEART CONDITIONS
PRIOR HEART ATTACK
UNSTABLE CHEST PAINS
OPEN SORES
COLD ALLERGY
HISTORY OF BLOOD CLOTS
DISEASE OF BLOOD VESSELS
NERVE PAIN IN FEET OR LEGS

You may have other conditions that make whole body cryotherapy inappropriate. Consult with your doctor or medical advisor if you have questions as to whether whole body cryotherapy is right for you.

Women ONLY

Are you currently breastfeeding?*
No
Yes
Are you pregnant?*
No
Yes

How did you hear about us?

Please list medication are you are currently on.

Do you have any food, drug for other type of allergies?
Fourth Client Name

First Name*

Middle Name

Last Name*
Fourth Client Date of Birth*
Fourth Client Information
Cryotherapy should not be use if you have the following. Please select if you have the following.
PREGNANCY
COLD ACTIVATED ASTHMA
PACEMAKER
UNCONTROLLED HIGH BLOOD PRESSURE
OTHER HEART CONDITIONS
PRIOR HEART ATTACK
UNSTABLE CHEST PAINS
OPEN SORES
COLD ALLERGY
HISTORY OF BLOOD CLOTS
DISEASE OF BLOOD VESSELS
NERVE PAIN IN FEET OR LEGS

You may have other conditions that make whole body cryotherapy inappropriate. Consult with your doctor or medical advisor if you have questions as to whether whole body cryotherapy is right for you.

Women ONLY

Are you currently breastfeeding?*
No
Yes
Are you pregnant?*
No
Yes

How did you hear about us?

Please list medication are you are currently on.

Do you have any food, drug for other type of allergies?
Fifth Client Name

First Name*

Middle Name

Last Name*
Fifth Client Date of Birth*
Fifth Client Information
Cryotherapy should not be use if you have the following. Please select if you have the following.
PREGNANCY
COLD ACTIVATED ASTHMA
PACEMAKER
UNCONTROLLED HIGH BLOOD PRESSURE
OTHER HEART CONDITIONS
PRIOR HEART ATTACK
UNSTABLE CHEST PAINS
OPEN SORES
COLD ALLERGY
HISTORY OF BLOOD CLOTS
DISEASE OF BLOOD VESSELS
NERVE PAIN IN FEET OR LEGS

You may have other conditions that make whole body cryotherapy inappropriate. Consult with your doctor or medical advisor if you have questions as to whether whole body cryotherapy is right for you.

Women ONLY

Are you currently breastfeeding?*
No
Yes
Are you pregnant?*
No
Yes

How did you hear about us?

Please list medication are you are currently on.

Do you have any food, drug for other type of allergies?
Sixth Client Name

First Name*

Middle Name

Last Name*
Sixth Client Date of Birth*
Sixth Client Information
Cryotherapy should not be use if you have the following. Please select if you have the following.
PREGNANCY
COLD ACTIVATED ASTHMA
PACEMAKER
UNCONTROLLED HIGH BLOOD PRESSURE
OTHER HEART CONDITIONS
PRIOR HEART ATTACK
UNSTABLE CHEST PAINS
OPEN SORES
COLD ALLERGY
HISTORY OF BLOOD CLOTS
DISEASE OF BLOOD VESSELS
NERVE PAIN IN FEET OR LEGS

You may have other conditions that make whole body cryotherapy inappropriate. Consult with your doctor or medical advisor if you have questions as to whether whole body cryotherapy is right for you.

Women ONLY

Are you currently breastfeeding?*
No
Yes
Are you pregnant?*
No
Yes

How did you hear about us?

Please list medication are you are currently on.

Do you have any food, drug for other type of allergies?
Seventh Client Name

First Name*

Middle Name

Last Name*
Seventh Client Date of Birth*
Seventh Client Information
Cryotherapy should not be use if you have the following. Please select if you have the following.
PREGNANCY
COLD ACTIVATED ASTHMA
PACEMAKER
UNCONTROLLED HIGH BLOOD PRESSURE
OTHER HEART CONDITIONS
PRIOR HEART ATTACK
UNSTABLE CHEST PAINS
OPEN SORES
COLD ALLERGY
HISTORY OF BLOOD CLOTS
DISEASE OF BLOOD VESSELS
NERVE PAIN IN FEET OR LEGS

You may have other conditions that make whole body cryotherapy inappropriate. Consult with your doctor or medical advisor if you have questions as to whether whole body cryotherapy is right for you.

Women ONLY

Are you currently breastfeeding?*
No
Yes
Are you pregnant?*
No
Yes

How did you hear about us?

Please list medication are you are currently on.

Do you have any food, drug for other type of allergies?
Eighth Client Name

First Name*

Middle Name

Last Name*
Eighth Client Date of Birth*
Eighth Client Information
Cryotherapy should not be use if you have the following. Please select if you have the following.
PREGNANCY
COLD ACTIVATED ASTHMA
PACEMAKER
UNCONTROLLED HIGH BLOOD PRESSURE
OTHER HEART CONDITIONS
PRIOR HEART ATTACK
UNSTABLE CHEST PAINS
OPEN SORES
COLD ALLERGY
HISTORY OF BLOOD CLOTS
DISEASE OF BLOOD VESSELS
NERVE PAIN IN FEET OR LEGS

You may have other conditions that make whole body cryotherapy inappropriate. Consult with your doctor or medical advisor if you have questions as to whether whole body cryotherapy is right for you.

Women ONLY

Are you currently breastfeeding?*
No
Yes
Are you pregnant?*
No
Yes

How did you hear about us?

Please list medication are you are currently on.

Do you have any food, drug for other type of allergies?
Ninth Client Name

First Name*

Middle Name

Last Name*
Ninth Client Date of Birth*
Ninth Client Information
Cryotherapy should not be use if you have the following. Please select if you have the following.
PREGNANCY
COLD ACTIVATED ASTHMA
PACEMAKER
UNCONTROLLED HIGH BLOOD PRESSURE
OTHER HEART CONDITIONS
PRIOR HEART ATTACK
UNSTABLE CHEST PAINS
OPEN SORES
COLD ALLERGY
HISTORY OF BLOOD CLOTS
DISEASE OF BLOOD VESSELS
NERVE PAIN IN FEET OR LEGS

You may have other conditions that make whole body cryotherapy inappropriate. Consult with your doctor or medical advisor if you have questions as to whether whole body cryotherapy is right for you.

Women ONLY

Are you currently breastfeeding?*
No
Yes
Are you pregnant?*
No
Yes

How did you hear about us?

Please list medication are you are currently on.

Do you have any food, drug for other type of allergies?
Tenth Client Name

First Name*

Middle Name

Last Name*
Tenth Client Date of Birth*
Tenth Client Information
Cryotherapy should not be use if you have the following. Please select if you have the following.
PREGNANCY
COLD ACTIVATED ASTHMA
PACEMAKER
UNCONTROLLED HIGH BLOOD PRESSURE
OTHER HEART CONDITIONS
PRIOR HEART ATTACK
UNSTABLE CHEST PAINS
OPEN SORES
COLD ALLERGY
HISTORY OF BLOOD CLOTS
DISEASE OF BLOOD VESSELS
NERVE PAIN IN FEET OR LEGS

You may have other conditions that make whole body cryotherapy inappropriate. Consult with your doctor or medical advisor if you have questions as to whether whole body cryotherapy is right for you.

Women ONLY

Are you currently breastfeeding?*
No
Yes
Are you pregnant?*
No
Yes

How did you hear about us?

Please list medication are you are currently on.

Do you have any food, drug for other type of allergies?
Client 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*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

Emergency Contact's 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.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information
Cryotherapy should not be use if you have the following. Please select if you have the following.
PREGNANCY
COLD ACTIVATED ASTHMA
PACEMAKER
UNCONTROLLED HIGH BLOOD PRESSURE
OTHER HEART CONDITIONS
PRIOR HEART ATTACK
UNSTABLE CHEST PAINS
OPEN SORES
COLD ALLERGY
HISTORY OF BLOOD CLOTS
DISEASE OF BLOOD VESSELS
NERVE PAIN IN FEET OR LEGS

You may have other conditions that make whole body cryotherapy inappropriate. Consult with your doctor or medical advisor if you have questions as to whether whole body cryotherapy is right for you.

Women ONLY

Are you currently breastfeeding?*
No
Yes
Are you pregnant?*
No
Yes

How did you hear about us?

Please list medication are you are currently on.

Do you have any food, drug for other type of allergies?
Parent or Guardian's Signature*
Electronic Signature Consent*
You may have other conditions that make whole body cryotherapy inappropriate. Consult with your doctor or medical advisor if you have questions as to whether whole body cryotherapy is right for you.<br> BY SIGNING BELOW YOU CONFIRM TO [NAME OF ENTITY] (THE "COMPANY") FOR THE BENEFIT OF THE RELEASED PARTIES (AS LATER DEFINED) THAT YOU HAVE CAREFULLY READ ALL PAGES OF THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS, VOLUNTARILY AGREE TO EACH OF ITS TERMS AND PROVISIONS, AND SIGN OF YOUR OWN FREE WILL.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver