Medical & Lifestyle
Your health background
This helps our clinicians make sure your session is safe and tailored to you.
Medical Conditions
Do you suffer from any known medical conditions? *
Professional Athlete Status
Are you a professional athlete subject to WADA testing? *
Existing Conditions
Do you suffer from any of the following? Check all that apply.
Diabetes
Glucose 6 Phosphate Deficiency
Deep Vein Thrombosis (DVT) or Blood Clotting Disorder
Anemia
Sickle Cell Disease, Spherocytosis, Thalassaemia
Epilepsy or Seizures
History of Stroke or Haemorrhagic Stroke
Thyroid Disorders
Parathyroid Disorders
Kidney Disease
Liver Disease
Cancer (Current or Past)
Osteoporosis
Allergies including Shellfish, Medication or Food
None of the above
Allergies
Do you have any allergies? *
Previous IV Therapy
Have you had IV Therapy before? *
