Consent Declaration

Informed Consent Declaration

My booking a session with Cape Oxygen, I confirm I have read this declaration and understand its contents.

I hereby authorize Cape Oxygen and Recovery Centre and any agent, employee, franchisee or otherwise nominated person thereof to perform medium pressure hyperbaric Oxygen therapy on me.

I fully understand the pressurization and de-pressurization process and the associated risks thereof.

I acknowledge that this chamber is considered Medium Hyperbaric Oxygen Therapy; and is not considered Hyperbaric Medicine.

I have been informed of the risks, benefits and foreseeable complications. I recognize that no guarantees or claims have been given to me with regards to the results of Medium Hyperbaric Oxygen Therapy. I acknowledge that medium Hyperbaric Oxygen therapy is an adjunctive therapy and should be used in conjunction with other primary modes of healthcare.

I understand that hyperbaric Oxygen therapy, and specifically Medium hyperbaric Oxygen Therapy is a complimentary therapy and does not constitute a treatment on its own. I understand that no guarantee of healing or cure of any disorder can be given and understand that Oxygenate (Pty) Ltd and any agent, employee, franchisee or otherwise nominated person can be held liable in the absence of healing.

Prior to each session, before entering the chamber, I undertake to inform the operator if I have a cold, otitis, coughing or other recent pulmonary infection, sinusitis or if I have other symptoms at the moment outside of the ordinary that I consider has to be reported.

Once I have entered the chamber I shall immediately inform the chamber operator if I suffer any earache or any other relevant medical symptoms.

I note that I should come to each session bathed and wounds dressed. I further note that I should be free of uncontrolled high blood pressure and dizziness and must have eaten within the hour previous to treatment if I am Diabetic.

I consent and will comply with the aforementioned conditions to enter the chamber. I have been given the opportunity to ask all questions pertaining to the session and all have been answered fully and satisfactorily in easy terms for my understanding.

Sue Cowen and Cape Oxygen and Recovery Centre hereby indemnifies themselves, members, directors, instructors, employees, officers, franchisees and agents from all liability or responsibility whatsoever for bodily injury, damage to or loss of property or death, howsoever caused, and indemnifies and holds harmless the indemnified parties against any claim, loss, demands, liability, costs and expenses of whatsoever nature which may be made against any of them (including the costs incurred in defending or contesting any such claim) arising out of or connected with any agreement undertaken. I hereby confirm that I accept the above disclaimer.

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Payment & Reimbursements, Cancellations & No Shows

Once payment has been received by Cape Oxygen  or any of its affiliated branches, NO CASH will be refunded for unused sessions. All endeavors will be made to accommodate clients preferred sessions times and locations. Packages expire within 6 months of purchase. Late cancellations and no shows (less than 24 hours) will be charged in full. Monthly package holders will be invoiced separately at standard rates.