480-594-5052

480-594-5052

Intake Forms

 

*Please fill out and submit the Client Health Questionnaire form below 24 hours before your Appointment with ANY of the Modalities*

**Please also fill out the HOCATT™ specific intake form below and submit if you are making an appointment to use the HOCATT™ for the first time**

What to expect for your HOCATT™ Therapy Session

Please call to schedule an appointment: 480-594-5052

Client Health Questionnaire

 

Male     Female
Maried     Single

 

Emergency Contact Info:
Yes     No
Yes     No
Yes     No
Yes     No
Yes     No
Yes     No
Yes     No
Yes     No
Yes     No

 

HOCATT™ Intake Form

 



1. CONTRAINDICATIONS

Do any of the following conditions apply to you?

There are circumstances during which certain modalities of the HOCATT should not be used:

STEAM / FIR SUANA















CO2 / CARBONIC ACID


TRANSDERMAL OZONE / INSUFFLATION





FREQUENCY SPECIFIC MICROCURRENTS










2. Have you consumed at least half your body weight(pounds) or water (in ounces) today prior to your session? e.g. if you weight 150 pounds, drink at least 75 ounces of water.


3. Please list ALL current daily medications, herbs and/or supplements and dose:

4. Are there any other medical conditions you have that your practitioner/ technician should be aware of?

5. It is recommended that ALL CLIENTS, regardless of heart condition, see their primary doctor before using the HOCATT. You should inform your doctor that they will be using a tempurature controlled steam and FIR sauna, and your doctor should perform the regular health-checks (e.g. take blood pressure, etc.)

6. HEART CONDITIONS & ELDERLY CLIENTS

Elderly Clients and those with known heart conditions MUST consult their cardiologist about using steam and FIR saunas, as well as Frequency Specific Microcurrents (FSM) if you would like to add an FSM program to your HOCATT session. You need an EKG (not older than 12 months) and you need to be CLEARED to use a sauna by your cardiologist before doing a HOCATT session. Your cardiologist may recommend a safe temperature range, as well as a heart rate limit that may not be exceeded. Your cardiologist might also clear you for FSM should you want to add it to your HOCATT session.

The HOCATT Plus has a heart rate monitor, so that you can monitor your heart rate throughout the rest of the day and the days that follow. You can also ask the HOCATT practitioner/ technician to set a heart rate limit (e.g. 120 beats/min). If your hearth rate exceeds this limit, then the whole system will shut down (ending the session immediatly).

7. DETOX REACTION It is very important to drink plenty of water before and after a HOCATT session, as well as throughout the rest of the day and the days that follow. Drinking water helps your body to flush out toxins. It is important to note that detoxifying the body too fast, especially if there are many toxins present, can overload the body's avenues of elimination. These include the kidneys, liver, colon, lymph system, skin and lungs. When these organs are impaired, then even mild detoxification methods can overload the remaining elimination organs. Overloading these systems can result in a detox reaction or "cleaning crisis". You may experience anything from flu-like symptoms to a skin rash. It is the body's way of trying to get rid of the toxins. While ultimately a detox reaction is a sign of a good thing, it can still be an unpleasant experience. It is much easier to get through when you support your body's normal elimination systems. When these organs are working well, and there is sufficient water and nutrient intake, then most detox reactions pass quickly, and sometimes even go unnoticed! This is why it is very important to drink plenty of water and take supplements, to help support liver, kidneys, colon and other elimination systems. Be sure to do this if you find yourself experiencing a detox reaction.

8. IMPORTANT LEGAL INFORMATION & DISCLAIMERS

THE HOCATT IS NOT A MEDICAL DEVICE. IT HAS NOT BEEN EVALUATED OR APPROVED BY THE FDA OF NDF, AND WE DO NOT CLAIM ITS INTENDED USE TO TREAT, CURE, PREVENT OR DIAGNOSE ANY DISEASE OR MEDICAL CONDITION. Though we will be glad to supervise the use of this equipment, we do not aim to treat, cure, prevent or diagnose any disease or medical condition. This information should not be used as a substitute for professional medical advice. Under US law, only a medical doctor may "treat" illness and disease with a medical origin, such as cancer. This law is to protect you from the possibility that, while you are receiving HOCATT session, an illness which may need orthodox medical attention could be getting worse. Furthermore, it is important to note that we cannot be held responsible for any health issues you may have, and we cannot be hel responsible for deterioration of any ailments that you have.

The physiological effects and efficacy Transderman Ozone and Oxygen, Whole Body Hyperthermia, Far Infared, CO2/Carbonic Acid, Frequency Specific Microcurrents, Essential Oil Infusions, and Photon Light and Colors have been documented widely and is publically available in literature. These systems are only ever intended to be "in addition" to any medical treatment that you need or are receiving. Please note that any treatment you are receiving from your Doctors should continue whilst you enjoy the HOCATT.

The manufacturer or any marketing agent cannot accept liability for any injury or fatality in relation to the use of this equipment. The client agrees to use this product at his/her own risk. and a parent/guardian takes responsibility for the fragile/minors. It is the client's responsibility to acquant him/herself with any risks associated with their physical or medical condition, as well as side effects or risks associated with the medications they are taking, and to consult a medical practitioner if in doubt.

DECLARATION:

I am aware that every safety measure will be undertaken by staff, and that this may include my refusal if deemed unsafe. The information that I have given is true complete, and I would like to go aheasd with the HOCATT session at my own risk. I understand what will occur during the session, and I take personal responsibilty for my choice in receiving sessions. I shall not hold the manufacturer, any marketing agent, physician/practitioner or technician liable for any illness, injury or worsening of any pre-existing condition that results from using this equipment

I have read the above information and understand completely what I have read.

If fainting occurs, an ambulance will be called. If you choose not to have one called, tick this box.

 

 

TESTIMONIALS

*Disclaimer: Natural Pain Treatment and Wellness LLC, dba Natural Pain Treatment and Detox, does not provide medical advice, diagnosis, or treatment through this Website. The purpose of this website is to explore current research and discussions of holistic natural therapies and healthy lifestyle factors that are typically not discussed in the realm of modern allopathic medicine.

The content of this Digital Publication, such as text, graphics, images, and other material has not been evaluated by the FDA and is for informational purposes only. The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read, heard or seen on this digital publication. If you schedule an appointment with Natural Pain Treatment and Detox you will be given natural therapies to support your healing, but they are not a substitute for medical treatment.

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