Medical Waiver

If you have an injury or medical condition, this declaration must be completed and accepted before participating in any session. You will not be able to participate without medical approval.

Client Details

Emergency Contact

Your Medical Condition

Are you currently under medical supervision for this condition?*
Safe to participate?*

Declaration and Acceptance of Risk

I confirm that:
– I have fully disclosed my medical condition.
– I understand that exercising with a medical condition increases the risk of injury, illness or aggravation of that condition.
– I understand that Greg McMillan is not a medical professional and does not provide medical advice.
– I accept full responsibility for my decision to participate in sessions.
– I will stop exercising immediately if I experience pain, discomfort, dizziness, chest pain, shortness of breath or any unusual symptoms.
– I understand that McMillan PT may refuse or modify my participation if it is considered unsafe.*

Agreement

I confirm that the information provided is accurate to the best of my knowledge. I have read and understood this declaration and accept full responsibility for participating in exercise with the condition disclosed above.

I understand that exercise carries inherent risks and I agree to participate voluntarily. To the fullest extent permitted by law, McMillan PT and Greg McMillan shall not be liable for any injury or aggravation of an existing condition arising from my participation, except where caused by negligence.

I understand that submitting this form constitutes a legally binding agreement. If my health or medical condition changes at any time, I will inform McMillan PT before participating in further sessions.*