Existing Client Form - Booking in Chamber 1

  • Contact Information

  • I confirm that none of contraindications applies to me and that my health situation hasn’t changed since the first consultation.
  • I hereby give my consent and authorization voluntarily and release OxyZone Sligo Hyperbaric Chamber Oxygen Therapy from any claims , implied or state that I have or may have in the future with m-HOBT treatment, regardless of results. I am stating that the treatment and precautions above have been explained to me in detail and that I fully understand