• Yoni Steam Client Intake Form

    Forever Pretti Body Studio
  • When Yoni steams should be avoided:

    -If you are pregnant or there is a possibility of pregnancy During or after ovulation if you are trying to conceive

    -During menstruation

    -Fresh spotting or spontaneous bleeding

    -With any open wounds, sores, blisters, or stitches

    -If you have a vaginal infection or fever

    -Piercings will need to be removed

    -Birth control implant (Nexplanon, Implanon) Infection with burning Tubal Coagulation

    CAUTION:

    if you have an IUD, Yoni steams help release matter from the uterus. They are on the caution list but no longer contraindicated. However, I will ask that if you have an IUD, you sign a release form that you are aware of the possibility of your IUD releasing.

    Please take a moment to carefully read the following information and sign where indicated. If you have a specific medical condition or specific symptoms, yoni steam baths may be contraindicated. A referral from your primary care provider may be required prior to service being provided.

    I understand that if I experience any pain or discomfort during any session, I will immediately inform the practitioner so that the temperature may be adjusted to my level of comfort. I further understand that yoni steam baths should not be construed as a substitute for medical examination, diagnosis, or treatment and that I should see a medical provider, or other qualified medical specialist for any physical or mental ailment of which I am aware. I understand that the practitioner facilitating the yoni steam bath is not qualified to diagnose, prescribe, and/or treat any physical or mental illness, and that nothing said in the course of any session given should be construed as such. Vaginal/yoni steam baths should not be performed under certain medical conditions. I affirm that I have stated all of my known medical conditions, and answered all questions accurately, completely, and honestly. I agree to keep the practitioner updated as to any changes in my medical profile and understand that there shall be no liability on the practitioner's part should I forget to do so. I am aware and I understand there is a possibility that my IUD can be released due to a Yoni Steam Bath. This has been explained to me and I am to proceeding with the Yoni Steam Bath at my own risk. I understand that I am having this yoni steam bath at my own risk and hereby release Forever Pretti Body Studio or any employee at Integrative Family Medicine from any liability.

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  • Picture & video usage: Before, during, & after pictures & videos may be taken to document

    treatments. These pictures or videos become Forever Pretti Body Inc. sole property and may only be used for promotional and/or educational purposes.

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