Terms and Conditions: Agreeing to Intravenous (IV) Therapy

By agreeing to undergo intravenous (IV) therapy, you acknowledge and agree to the following terms and conditions:

1. Understanding of Risks and Complications:

• You understand that intravenous therapy involves the insertion of a needle into a vein to administer fluids, medications, or nutrients directly into the bloodstream.

• You acknowledge that while IV therapy is generally safe, it carries inherent risks and potential complications, including but not limited to:

  • Infection at the site of injection

  • Bleeding or bruising

  • Allergic reactions to medications or fluids administered

  • Pain or discomfort during or after the procedure

  • Damage to the vein, including inflammation or thrombosis

  • Rare but serious complications such as air embolism or nerve damage

2. Voluntary Consent:

• You affirm that your consent to undergo IV therapy is voluntary and based on your own understanding of the procedure, its risks, and potential benefits.

• You acknowledge that you have had the opportunity to ask questions and seek clarification regarding the procedure and its implications, and that any questions you had have been adequately addressed.

3. Alternative Treatment Options:

• You understand that alternatives to IV therapy may exist for your condition or treatment goals, including oral medications, topical treatments, or non-invasive procedures.

• You acknowledge that you have been informed of these alternatives and have chosen IV therapy after considering them.

4. Compliance with Instructions:

• You agree to comply with all instructions provided by the healthcare provider administering the IV therapy, including pre-treatment preparations and post-treatment care.

• You understand that failure to follow these instructions may increase the risk of complications and may affect the effectiveness of the treatment.

5. Right to Withdraw Consent:

• You retain the right to withdraw your consent for IV therapy at any time before or during the procedure.

• You understand that withdrawing consent may have implications for your health and treatment plan, and you agree to discuss any concerns or decisions to withdraw consent with your healthcare provider.

6. Release of Liability:

• To the fullest extent permitted by law, you release and discharge the healthcare provider, their affiliates, and staff from any liability for injuries, damages, or losses arising from or related to the IV therapy, except in cases of willful misconduct or gross negligence.

7. Agreement to Terms:

• By signing or otherwise indicating your agreement to this consent form, you affirm that you have read, understood, and agreed to all the terms and conditions outlined herein.

• You acknowledge that this consent form serves as documentation of your informed decision to undergo IV therapy.

8. Confidentiality:

• Any information disclosed as part of your IV therapy, including personal health information, will be kept confidential in accordance with applicable laws and regulations.

9. Governing Law:

• This consent form shall be governed by and construed in accordance with the laws of [Magis Infusions LLC], without regard to its conflict of law provisions.

10. Modification of Terms:

• These terms and conditions may be modified or updated from time to time at the discretion of the healthcare provider. You will be notified of any changes, and your continued participation in IV therapy will constitute acceptance of the modified terms.