Clinic Consent Form

Before beginning a PEMF Health Inc. Therapy Session you must remove the following from your person: 

Clinic Consent Form

Before beginning a PEMF Health Inc. Therapy Session you must remove the following from your person: 

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Electronic or battery operated devices, keys, wallets, cards with magnetic strips such as credit cards and hotel keys, your watch, hearing aids, cellphones, laptops, etc.

PEMF Health Inc. and our employees are not responsible for damage to technology that has not been removed prior to your session.

Informed Consent Agreement for PEMF Health Inc. Therapy

  • 1

    I do not have any metallic chains on me.

  • 2

    I do not have an implanted electronic device including: pacemaker, defibrillator, cochlear hearing device, spinal stimulator, insulin injector, etc.

  • 3

    I am not actively bleeding, hemorrhaging, or having heavy menstruation.  Blood flow will increase with a PEMF treatment.

  • 4

    I understand if I choose to do a PEMF session during menstruation it may increase my flow, cramping etc.

  • 5

    I am not pregnant.

  • 6

    I do not have seizures or blood clots.

  • 7

    I have not received chemotherapy in the last 48 hours.

  • I agree to be fully responsible for any damages, if I do not follow the above listed consent agreement.
  • It is the responsibility of the patient to disclose any underlying physical condition or illness. PEMF Health Inc. will not provide treatment if we are made aware of adverse conditions as stated above.
  • I further understand Curtis Swischuk from PEMF Health Inc. is an Independent Certified Swiss Bionic Solutions Health Technician and NOT a licensed medical provider and he does not diagnose nor prescribe medications or supplements and his advice is not to be replaced with the advice of a licensed medical practitioner. 
  • I hereby request and consent to treatment or services to be performed by PEMF Health Inc., Curtis Swischuk, and his staff and give the treating party permission and authority to treat me in ways that are judged beneficial to me. I feel adequately informed to do so and I accept all liability for my health and wellness choices using PEMF.

I understand that PEMF Health Inc. does not make any promises of cures of any kind and results may vary.  I understand that results are not guaranteed. 

I have read, understand and agree to this informed consent and release. 

My signature below certifies that I have read and understood the terms outlined above and consent to all necessary therapy as determined by PEMF Health Inc., Curtis Swischuk, and his employees.

 

* There will be no refunds of any fees paid for these services. 

Date: * ________________________ 

Printed Name:* _____________________________________ 

Email Address:* _________________________________________

Signature of patient or responsible party:* _________________________________________

If the person receiving PEMF is a minor, please state your relationship to them ____________

Phone Number:* ______________________________

Notes: 

PEMF Therapy Works!

It can work for you!

Repair and Maintain Health at a Cellular Level!

Deal with the Root Cause of your Ailments by addressing impaired Chemistry and the function of Cells!

Regenerates blood cells with better circulation and oxygenation.  Strengthens/ boosts the immune system.

Curtis Swischuk- PEMF Health Inc.

Swiss Bionic Solutions PEMF Equipment treatments have made it possible for me to have a “MIRACULOUS” health recovery!  I was so impressed by the results that I received I decided to come out of retirement, share my story, and start this business.  Now it is my PASSION to help out others benefit from this INCREDIBLE technology!  Check out the About Us page.

Curtis Swischuk

PEMF Health Inc.
Kerri testimonial- PEMF Health Inc.

I am a breast cancer survivor and a person who leads a very active healthy lifestyle.  My shin splint issues that I had for many years were 100% gone after 14 days use of the PEMF equipment.  I used to have a lot of allergy and food tolerance issues that for the 1st time in my life, the PEMF treatments with time got everything under control.  I am now able to get much better restful sleeps!

Kerri Shawn

Interior Designer- Scottsdale, Arizona
Bert Testimonial- PEMF Health Inc.

I was diagnosed with stage 4 bladder and I was informed that I only had 2 to 12 months to live.  I was only a candidate for Radiation treatments.  My legs were quite swollen and my kidney functions were low.  After 21 days with PEMF treatment therapy from Curtis at PEMF Health Inc. my leg swelling was totally gone and my kidney function improved.  It is now 2 years later and I am 100% cancer free as a result of my daily lifesaving PEMF treatments.

Bert Allen

Retired School Teacher- Winnipeg, Manitoba
Susan testimonial picture- PEMF Health Inc.

I was always low on energy and constantly tired.  My iMRS Prime PEMF mat gave me back my energy- when they say it is a human battery charger they are not kidding!!!  I can work out again and feel like I did 30 years ago!!!  Curtis from PEMF Health Inc. is EXTREMELY knowledgeable, a delight to work with, and he is always there for me!   I highly recommend PEMF Health Inc. for their  products and Outstanding Customer Service!!!

Susan Finley

Acoustic Therapeutix- New York
Ray Hemming testimonial- PEMF Health Inc.

I had neck and shoulder pain problems for years.  I was absolutely surprised and delighted that the full body mat and pillow pad treatments could completely and immediately remove my pain!  My daughter had a very bad stroke and Curtis was EXTREMELY compassionate and he went out of his way to assist her with PEMF treatments many times.  This is definitely the PEMF company that I would recommend for their superior service and amazing products!

Ray Hemming

Farmer- Yorkton, Saskatchewan