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Purpose and Nature of IV Ozone & UBI Therapy: I understand that Intravenous Ozone and Ultraviolet Blood Irradiation (UBI) Therapy are offered at Down-to-Earth Wellness Center to support immune function, improve oxygen utilization, reduce inflammation, and enhance the body’s natural healing response. Ozone therapy involves the infusion of medical-grade ozone into the bloodstream to promote cellular health and detoxification. UBI therapy involves exposing a small portion of the patient’s blood to ultraviolet light and returning it to the body to stimulate immune modulation and antimicrobial effects. These therapies are administered under medical supervision and may be used individually or in combination as part of an integrative treatment plan.
Benefits of Therapy: Potential benefits of IV Ozone and UBI Therapy include enhanced immune function, increased energy, reduced inflammation, detoxification, improved circulation, and support in addressing chronic or recurrent infections, autoimmune disorders, and other inflammatory conditions. These therapies are used as part of an overall wellness approach.
Risks and Side Effects: Although IV Ozone and UBI Therapy are generally well-tolerated, I understand that there are potential risks and side effects. These may include discomfort or bruising at the injection site, dizziness, lightheadedness, headache, fatigue, nausea, or temporary flu-like symptoms. Rare complications may include allergic reaction, infection, vein irritation, or oxidative stress if improperly administered. I understand that these risks are uncommon and that the procedures will be performed by trained professionals following established safety protocols.
Medical Disclosure: I confirm that I have disclosed all pertinent medical information to the provider, including any allergies, current medications, and known health conditions such as G6PD deficiency, thyroid disorders, blood disorders, or autoimmune conditions. I understand that failure to disclose relevant health history may increase the risk of complications.
Alternative Options: I understand that alternatives to IV Ozone and UBI Therapy include conventional medical treatments, oral supplementation, lifestyle modifications, or no treatment. I acknowledge that I am choosing to pursue this therapy as an elective treatment and that it is not a substitute for emergency medical care.
Consent and Release of Liability: By signing the Consent & Authorization Summary Signature Page, I confirm that I have read and understand this consent form. I have had the opportunity to ask questions and receive answers to my satisfaction. I voluntarily consent to receive IV Ozone and UBI Therapy at Down-to-Earth Wellness Center. I understand that results are not guaranteed and may vary depending on individual health conditions. I agree to release and hold harmless Down-to-Earth Wellness Center, its providers, and staff from any liability for adverse outcomes, except in cases of gross negligence or malpractice.