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Fitness Liability Waiver

A legal document consisting of a disclaimer of legal responsibility made by one party for harm caused by the activities of another party.

Page 1

Please read and sign the following waiver before participating in any fitness activities.

Email*

Full Name*

Date of Birth*

Address*

Phone Number*

Emergency Contact Name*

Emergency Contact Phone Number*

Do you have any medical cond...

Please check the following b...*

I understand that participation in physical activity involves inherent risks.

I understand that it is my responsibility to consult with a physician before participating in any physical activity.

I understand that the fitness center and its employees are not responsible for any injuries or damages that may occur during physical activity.

10.

Please sign below to indicat...*

Description:Protect your fitness business with our Fitness Liability Waiver template. This legal document disclaims your legal responsibility for harm caused by the activities of your clients.

Ensure the safety of your fitness business with our Fitness Liability Waiver template. This legal document protects you from legal responsibility for any harm caused by the activities of your clients. By using this template, you can provide a clear and concise disclaimer to your clients, outlining the risks involved in physical activity and protecting your business from potential lawsuits. Our template is easy to customize and can be tailored to meet the specific needs of your business. Don't leave your business vulnerable to legal disputes, use our Fitness Liability Waiver template today.

First Name*

Last Name*

Address*

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First Name*

Last Name*

Date of Birth*

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Consent to Telemedicine Services*

I understand that telemedicine involves the use of electronic communications to enable healthcare providers at different locations to share individual patient medical information for the purpose of evaluation, diagnosis, consultation, treatment, and/or follow-up. I understand that I have the right to withhold or withdraw my consent to the use of telemedicine in the course of my care at any time, without affecting my right to future care or treatment.

Consent to Treatment*

I understand that the laws that protect privacy and the confidentiality of medical information also apply to telemedicine. As such, I understand that the information disclosed by me during the course of my treatment is generally confidential. I understand that there are both benefits and risks associated with telemedicine, including but not limited to, the possibility, despite reasonable efforts on the part of my healthcare provider, that: the transmission of my medical information could be disrupted or distorted by technical failures; the transmission of my medical information could be interrupted by unauthorized persons; and/or the electronic storage of my medical information could be accessed by unauthorized persons.

Consent to Payment*

I understand that I am responsible for payment of all fees associated with telemedicine services and that my insurance may not cover these services. I understand that I will be billed for telemedicine services in the same manner as for in-person services.

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