Nourishing Journey: Red Light Therapy

Red light therapy (RLT) mats, like other forms of photobiomodulation, are generally safe for most people, but there are specific situations where they should be avoided or used with medical supervision.

For this reason, along with your consent, we may require a prescription or signed referral from a licensed physician for anyone having a contraindication listed proceed with caution column. Restricted column services will not be provided.

RESTRICTED

You cannot have this service

PROCEED with CAUTION

Service requires doctor note*

1. I have read the list of contraindications for detoxification therapies and verify that my answers are true.

2. I understand that I may need a prescription from a physician.

3. If I experience any new health problems or a worsening of existing health problems, I will contact my physician immediately.

4. I understand that it is my responsibility to inform the practitioners at Nourishing Journey of any changes in my health that may be related to the listed contraindications.

Your Signature below indicates you have provided true and accurate information to the best of your knowledge.