Book Session

Consent to Treat and Liability Release Form

1. Description of Services

I understand that Independent Athletics LLC dba Rogue Recovery provides wellness and recovery services, which may include but are not limited to:

Passive Recovery Services:

• Normatec Leg Compression: Sequential compression to improve circulation and reduce swelling/fatigue.

• Red Light Therapy: Use of low-level light wavelengths to stimulate recovery and reduce inflammation.

• Infrared Sauna: Heat therapy to promote relaxation, circulation, and detoxification.

• Cold Plunge: Cold-water immersion to reduce inflammation and aid muscle recovery.

• Massage Gun: Percussive therapy to relieve muscle tension and soreness.

• Massage Chair: Mechanical massage for relaxation and muscle relief.

Active Recovery Services:

• Cupping: Application of suction cups to increase blood flow; may cause bruising, redness, and soreness.

• Scraping (IASTM): Use of tools to mobilize soft tissue and address scar tissue or adhesions.

• Manual Recovery: Hands-on soft tissue and joint mobilization techniques within the provider’s legal scope of practice.

• Assisted Stretching: Guided stretching to improve flexibility and mobility.

• Mobility Coaching: Instruction to improve joint health, range of motion, and movement efficiency.
  Blood Flow Restriction (BFR) Training: Controlled restriction of blood flow during exercise to stimulate adaptation

2. Risks & Contraindications

I understand that participation in these services carries potential risks, including but not limited to:

• General Risks: Muscle soreness, skin irritation, dizziness, dehydration, fatigue, aggravation of pre-existing injuries.

• Passive Recovery Specific Risks:

• Sauna: Heat stress, dizziness, fainting, dehydration.

• Cold Plunge: Cold shock, rapid heart rate, hypothermia risk.

• Normatec: Numbness, tingling, temporary swelling changes.

• Red Light Therapy: Temporary skin redness or irritation.

• Massage Gun/Chair: Bruising, soreness, aggravation of injuries.

• Active Recovery Specific Risks:

• Cupping: Bruising, redness, soreness, dehydration.

• Scraping: Skin redness, minor abrasions, soreness.

• Manual Recovery/Stretching: Joint strain, muscle soreness, minor injury.

• Blood Flow Restriction: Numbness, tingling, dizziness, fainting, muscle cramping.

I affirm that I have disclosed all known medical conditions, recent surgeries or injuries, and current medications. Contraindications may include cardiovascular disease, pregnancy, uncontrolled hypertension, clotting disorders, recent fractures, severe osteoporosis, certain skin conditions, or other conditions as determined by a healthcare professional.

3. Assumption of Risk & Release of Liability

I VOLUNTARILY CHOOSE TO PARTICIPATE IN THESE SERVICES AND FULLY ACCEPT ALL ASSOCIATED RISK. TO THE FULLEST EXTENT PERMITTED BY TEXAS LAW, I RELEASE AND DISCHARGE INDEPENDENT ATHLETICS LLC DBA ROGUE RECOVERY FROM ANY AND ALL CLAIMS, INCLUDING THOSE ARISING FROM THE ORDINARY NEGLIGENCE OF THE RELEASED PARTIES.

4. Acknowledgment of Limitations

I understand that the services provided are for wellness and recovery purposes only and are not a substitute for medical care . The providers at Rogue Recovery are not diagnosing, prescribing, or offering medical treatment unless under appropriate licensure and scope of practice.

5. Media Consent

I give permission for my photo or video to be used for promotional purposes without compensation.

6. Indemnification

I agree to indemnify and hold harmless Independent Athletics LLC dba Rogue Recovery from any claims, damages, or expenses resulting from my participation.

7. Minors

If the participant is under 18, this form must be signed by a parent or legal guardian who accepts all terms on the minor's behalf.

8. Consent to Treat & Emergency Authorization

I consent to receive recovery and wellness services from Independent Athletics LLC dba Rogue Recovery . In the event of a medical emergency, I authorize the provider to contact emergency medical services on my behalf.

9. Legal Jurisdiction & Severability

This agreement shall be governed by the laws of the State of Texas.  Any disputes must be resolved in El Paso County, Texas. If any portion of this agreement is deemed invalid, the remaining provisions shall remain in effect.

By signing, I confirm that I have read and understand this agreement and agree to all terms.