Membership and Waiver Agreement
Participation: I understand and have agreed to voluntarily participate in a wellness program, including, but not limited to, strength training, flexibility development, aerobic exercise, nutritional program design and other wellness educational components under the guidance of MedPro Wellness. I hereby stipulate and agree that I am physically and mentally sound and currently have no physical conditions that would be aggravated by my involvement in a wellness program. I have provided verification from a licensed physician that I am able to undertake a general fitness and nutritional training program. I understand that the wellness recommendations made by MedPro Wellness are not a substitute for medical advice, diagnosis, or treatment, nor is the information intended to replace consultation with a qualified physician or other health care provider.
Term and Termination: I understand that this agreement shall continue in effect until such time as the Member’s membership is terminated by the member (voluntarily) or MedPro (for nonpayment or for cause). You may cancel this service at any time without penalty or further obligation by e-mailing GetWell@MedProWellness.com . Unless an e-mail is sent to Tim Aumueller, service will not be cancelled.
Weather and Holidays: I understand that if there is severe weather and my appointment needs to be rescheduled, this will not garner a reimbursement for my service. I understand that most services will not be available on major federal holidays. I understand that in-person services will only be available when the facility sites, including but not, limited to physician’s offices or corporate MedPro office ,are open.
Risks: I understand and am aware that physical-fitness activities, including the use of equipment, are potentially hazardous activities. I am aware that participating in these types of activities, even when completed properly, can be dangerous. I agree to follow the verbal instructions issued by the health coach. I am aware that potential risks associated with these types of activities include, but are not limited to: death, fainting, serious neck and spinal injuries that may result in complete or partial paralysis or brain damage, serious injury to virtually all bones, joints, and other aspects of the musculoskeletal system, and serious injury or impairment to other aspects of my body, general health, and well-being.
Insurance: I understand that I am responsible for my own medical insurance and will maintain that insurance throughout my entire period of participation with MedPro Wellness. I will assume any additional expenses incurred that go beyond my health coverage. I will notify MedPro Wellness of any significant injury that requires medical attention.
Supplies: I understand that MedPro Wellness will not provide the equipment to be used in connection with workouts, including, but not limited to, benches, dumbbells, barbells, and similar items. I recognize and understand that it is my own responsibility to represent and warrant any and all equipment that is used for my workout program. MedPro Wellness has not inspected my equipment and has no knowledge of its condition. I understand that I take sole responsibility for the equipment that I use.
Regulations: I understand that I must follow the rules of each location that I may be present at during the participation of a program with MedPro Wellness including, but not limited to: physician’s offices or corporate MedPro Wellness office.
Confidentiality: I understand that everything discussed during my sessions with a team member from MedPro Wellness is confidential and in line with HIPAA.
Responsibility & Claims: Although MedPro Wellness will take precautions to ensure my safety, I expressly assume and accept sole responsibility for my safety and for any and all injuries that may occur when following the fitness and nutrition recommendations and education. In consideration of the acceptance of this entry, I, for myself and for my executors, administrators, and assigns, waive and release any and all claims against MedPro Wellness and any of their staffs, officers, officials, volunteers, sponsors, agents, representatives, successors, or assigns and agree to hold them harmless from any claims or losses, including but not limited to claims for negligence for any injuries or expenses that I may incur while participating in the wellness program. These exculpatory clauses are intended to apply to any and all activities occurring during the time for which I am participating in the MedPro Wellness program.
I represent and warrant I am signing this agreement freely and willfully and not under fraud or duress.
Having read the above terms and intending to be legally bound hereby and understanding this document to be a complete waiver and disclaimer in favor of MedPro Wellness
If you have any questions, please do not hesitate to contact us at (201) 771 0923 or GetWell@MedProWellness.com