WELCOME

NEW CLIENT CONSENT FORM

(So we can send you a special treat on your birthday!)

Do you take Warfarin?
Do you have a pacemaker?
Are you, or is there any possibility you may be pregnant?
What are your reasons for visiting Pure Wellness Studio?
How did you hear about us?

Do you want to receive information & discounts from us?

We do not provide medical advice, education or treatment. For all medical questions, please seek advice from your doctor.*

I agree to hold Pure Wellness Studio Singapore Pte Ltd including its directors, employees, representatives and agents harmless from any liability involved in the use of the services offered at Pure Wellness. Pure Wellness has explained this treatment to me in detail and all my questions, if any, were answered. By signing on the consent below, I acknowledge I have read and understood all the information in this Waiver and Consent and all other information provided me by Pure Wellness.*

70A Duxton Road

(Level 2)
SINGAPORE 089529

+65 8892 2575

info@purewellnessstudio.sg

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