Statement Waiver

I herewith acknowledge that I am fully aware of the process of the E-Fit™ Electro Fitness training that I have chosen. I know the process of the treatment, the inherent risks, the potential complications as well as the expectable accomplishments.

Contraindications – in the below mentioned cases it is strictly forbidden to use Electric Muscle Stimulation:
Do not use this device if you have a cardiac pacemaker, implanted defibrillator, or other implanted metallic or electronic device. Such use could cause electric shock, burns, electrical interference, or death. Do not use the device if you have heart or coronary disease. The effect of the muscle stimulation during pregnancy is not proven therefore in this period the use is forbidden. In case of assumed or diagnosed epilepsy or seizure attacks the device shall not to be used. Do not use the device if there is a risk of internal bleeding due to injury or fracture.

Do not apply the stimulation in case of open wounds or rashes or in any case of harms or injuries on the skin (wounds, ulcers, burn wounds, irritation, eczema, etc.) or in too swollen, red, infected or inflamed areas (e.g. phlebitis, thrombophlebitis, varicose veins) or even close to these places. Do not use the device if you have breast cancer or any other breast disease. The stimulation shall not be used in case of cancerous mutations. The stimulation shall not be used in case of rhabdomyolysis or any other muscular system diseases. I am fully aware that the simultaneous use of the above devices with the electronic muscle stimulator may be hazardous for my health.

The E-Fit™ electro muscle stimulation is not suggested or medical consultation is recommended regarding the following cases:

  • In case of metallic implants in the body.
  • In case of menstruation spasms.
  • If you have contagious disease, in case of any critical illness or if you are fevered.
  • Consult your physician if you were recently had surgery as the stimulation might slow down the healing process.
  • If you are at risk of a heart attack or if you have blood pressure disease consult your physician before using the device.
  • Before the first session consult your physician if you are overweight or if you lack exercise in your lifestyle in order to know the risk of the training method. The stimulation is not suggested or a medical consultation is advised in case of breast implants.
  • In case of skin sensitivity, skin disease or skin feeling numb by touch, especially dry skin.
  • In case of any other unusual physical symptoms.

Warnings:
If you are in the care of a physician, consult with your physician before using this device.
If you have painful areas, you should consult with your physician before using this device.
If you are in the presence of electronic monitoring equipment (e.g.,cardiac monitors, ECG alarms), which may not operate properly when the electrical stimulation device is in use. The long-term effects of electrical stimulation are unknown.
Consult with your physician prior to using the device after a recent surgical procedure, because stimulation may disrupt the healing process.

I, the undersigned, being aware of my own health and physical condition, and having knowledge that my participation in any exercise program my be injurious to my health, am voluntary participating in physical activity with certified E-Fit™ Trainer.
I hereby disclose all physical limitations, disabilities, ailments, or impairments which may affect my ability to participate in said fitness program
The stimulation can be applied only on clean, unwounded and healthy skin.
I herewith declare that I am suitable for the treatment from each and every medical aspect, and I accept that I may experience muscular strain and sensitivity lasting for an extensive period as a side effect of he treatment. I am aware that strenuous exercise and physical exertion can be inherently hazardous activities. I am voluntary participating in these activities whit knowledge of the danger and assume any and all risk of injury or death. In case any unusual symptoms occur, the use of the device needs to be stopped and a doctor needs to be consulted. The intensity of trainings should be increased gradually after longer resting periods or inactive lifestyle.
I herewith acknowledge that the electro stimulation separately does not cause weight loss and has no effect on fat burning.
I herewith acknowledge that for to achieve the positive effects I need to follow a personalized diet and training plan.
I herewith acknowledge that I am fully aware that only in fully healthy condition allow to train by the E-Fit™ Electro Fitness device.
I herewith acknowledge that the manufacturer of the device or certified E-Fit™ Trainer can not become liable for the adverse side effects of the hidden, latent or pretermitted diseases and pathological conditions.
I have carefully read this release and fully understand it’s contents. I am aware that this is a release of liability and a contract between myself and Unique Fitness Solutions Inc.

24 HOUR CANCELLATION POLICY- Cancellations made Less than 24hours prior to your appointment time & NO SHOWS will forfeit the cost of the session.
You will be required to sign this statement of before your first EMS Training Session.

Statement Waiver

Signature of this waiver is required prior to first E-Fit™ EMS session

I herewith acknowledge that I am fully aware of the process of the E-Fit™ Electro Fitness training that I have chosen. I know the process of the treatment, the inherent risks, the potential complications as well as the expectable accomplishments.

Contraindications – in the below mentioned cases it is strictly forbidden to use Electric Muscle Stimulation:
Do not use this device if you have a cardiac pacemaker, implanted defibrillator, or other implanted metallic or electronic device. Such use could cause electric shock, burns, electrical interference, or death. Do not use the device if you have heart or coronary disease. The effect of the muscle stimulation during pregnancy is not proven therefore in this period the use is forbidden. In case of assumed or diagnosed epilepsy or seizure attacks the device shall not to be used. Do not use the device if there is a risk of internal bleeding due to injury or fracture.

Do not apply the stimulation in case of open wounds or rashes or in any case of harms or injuries on the skin (wounds, ulcers, burn wounds, irritation, eczema, etc.) or in too swollen, red, infected or inflamed areas (e.g. phlebitis, thrombophlebitis, varicose veins) or even close to these places. Do not use the device if you have breast cancer or any other breast disease. The stimulation shall not be used in case of cancerous mutations. The stimulation shall not be used in case of rhabdomyolysis or any other muscular system diseases. I am fully aware that the simultaneous use of the above devices with the electronic muscle stimulator may be hazardous for my health.

The E-Fit™ electro muscle stimulation is not suggested or medical consultation is recommended regarding the following cases:

  • In case of metallic implants in the body.
  • In case of menstruation spasms.
  • If you have contagious disease, in case of any critical illness or if you are fevered.
  • Consult your physician if you were recently had surgery as the stimulation might slow down the healing process.
  • If you are at risk of a heart attack or if you have blood pressure disease consult your physician before using the device.
  • Before the first session consult your physician if you are overweight or if you lack exercise in your lifestyle in order to know the risk of the training method. The stimulation is not suggested or a medical consultation is advised in case of breast implants.
  • In case of skin sensitivity, skin disease or skin feeling numb by touch, especially dry skin.
  • In case of any other unusual physical symptoms.

Warnings:
If you are in the care of a physician, consult with your physician before using this device.
If you have painful areas, you should consult with your physician before using this device.
If you are in the presence of electronic monitoring equipment (e.g.,cardiac monitors, ECG alarms), which may not operate properly when the electrical stimulation device is in use. The long-term effects of electrical stimulation are unknown.
Consult with your physician prior to using the device after a recent surgical procedure, because stimulation may disrupt the healing process.

I, the undersigned, being aware of my own health and physical condition, and having knowledge that my participation in any exercise program my be injurious to my health, am voluntary participating in physical activity with certified E-Fit™ Trainer.
I hereby disclose all physical limitations, disabilities, ailments, or impairments which may affect my ability to participate in said fitness program
The stimulation can be applied only on clean, unwounded and healthy skin.
I herewith declare that I am suitable for the treatment from each and every medical aspect, and I accept that I may experience muscular strain and sensitivity lasting for an extensive period as a side effect of he treatment. I am aware that strenuous exercise and physical exertion can be inherently hazardous activities. I am voluntary participating in these activities whit knowledge of the danger and assume any and all risk of injury or death. In case any unusual symptoms occur, the use of the device needs to be stopped and a doctor needs to be consulted. The intensity of trainings should be increased gradually after longer resting periods or inactive lifestyle.
I herewith acknowledge that the electro stimulation separately does not cause weight loss and has no effect on fat burning.
I herewith acknowledge that for to achieve the positive effects I need to follow a personalized diet and training plan.
I herewith acknowledge that I am fully aware that only in fully healthy condition allow to train by the E-Fit™ Electro Fitness device.
I herewith acknowledge that the manufacturer of the device or certified E-Fit™ Trainer can not become liable for the adverse side effects of the hidden, latent or pretermitted diseases and pathological conditions.
I have carefully read this release and fully understand it’s contents. I am aware that this is a release of liability and a contract between myself and Unique Fitness Solutions Inc.

24 HOUR CANCELLATION POLICY- Cancellations made Less than 24hours prior to your appointment time & NO SHOWS will forfeit the cost of the session.
You will be required to sign this statement of before your first EMS Training Session.