IV Therapy Consent Form

I understand and acknowledge that I am voluntarily consenting to receive Intravenous (IV) Therapy treatment. I understand that the treatment involves the insertion of a small needle into a vein to administer fluids, medications, vitamins, or other therapeutic substances.

I acknowledge that, although IV Therapy is generally safe, there are inherent risks and potential side effects associated with this procedure. These risks include, but are not limited to:

• Infection at the site of the needle insertion.

• Bruising or collection of blood at the injection site.

• Nausea, dizziness or fainting spells.

• Inflammation of the vein at the injection site may occur, leading to pain, redness, and swelling.

• In rare cases, the fluid or medication being administered may leak into the surrounding tissue, potentially causing damage or discomfort.

• Although rare, allergic reactions can occur, leading to rashes, itching, swelling, difficulty breathing, and in rare instances, cardiac arrest.

• While extremely rare, there is a remote possibility of nerve damage at the injection site

By signing below, I confirm that I have been fully informed of the potential risks, benefits, and complications and I voluntarily agree to undergo the treatment. I have had the opportunity to ask questions, and all my concerns have been addressed to my satisfaction. I release Rodeo Rehydration from any liability or claims arising from the treatment.

I understand that the risks and potential side effects listed above are not exhaustive, and other unforeseen risks may arise. I agree that if I experience any of these side effects, I will contact my doctor and, if necessary, seek medical attention at my own expense. I understand that it is my responsibility to disclose any health condition or medication that might affect the treatment.