Red Light Therapy Consent – Fusion Wellness
Red Light Therapy Consent Form
Fusion Wellness  ·  Fort Lauderdale, FL

⚠ Eye Safety Reminder: Protective TheraLight 360 eyewear must be worn by all persons present during device operation. Do not enter the device without approved protective goggles in place.


Please sign below using your finger (mobile/tablet) or mouse (desktop):

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