Hyperbaric Oxygen Therapy Consent – Fusion Wellness
Hyperbaric Oxygen Therapy Consent
Fusion Wellness  ·  Fort Lauderdale, FL

◉   Please answer both questions before proceeding
Do you have any ear pain or trauma recently?
⚠   Please notify a Fusion Wellness staff member before proceeding. Recent ear pain or trauma may require medical clearance prior to HBOT.
Are you flying on a plane within 24 hours of your HBOT session?
⚠   Flying within 24 hours of an HBOT session is not recommended. Please inform a staff member so we can discuss timing and safety considerations with you.

⚠ Important: Notify staff immediately if you experience ear pain, pressure, dizziness, shortness of breath, or any unusual sensations during your session. You may stop your session at any time.


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Your information is kept strictly confidential and used solely for treatment purposes.