509-537-2401
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Kennewick, WA (Tri-Cities)
Kennewick, WA (Tri-Cities)
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Augment Evaluation Form

Augment Evaluation Form

This evaluation form is designed to assess your medical history, current health status, and any conditions that may require consultation with a healthcare provider before using our cold plunge services. Please answer the following questions honestly to help us determine whether cold plunging is a safe and suitable option for you. If you answer "Yes" to any health-related concerns, we require consulting a medical professional before proceeding. By completing this form, you acknowledge that you understand the potential risks and will follow all safety guidelines and recommendations provided by Augment Wellness.

* Indicates required question
Name(Required)
Do you have any cardiovascular conditions (e.g., high blood pressure, heart disease, arrhythmias)?(Required)
Have you ever experienced cold-induced shock or fainting?(Required)
Do you have a history of Raynaud's disease, asthma, or other circulation-related conditions?(Required)
Are you currently pregnant or trying to conceive?
Have you been diagnosed with any neurological conditions (e.g., epilepsy, multiple sclerosis) that could affect your body's response to cold?(Required)
Do you have any injuries, muscle strains, or joint pain that may be affected by cold exposure?(Required)
Are you currently on any medications that affect circulation, blood pressure, or body temperature regulation?(Required)
Do you experience anxiety, panic attacks, or breathing difficulties that could be triggered by sudden cold exposure?(Required)
Are you concerned or aware of any other contradicting factors that you may possess that may lead to an adverse reaction to a cold plunge?(Required)

Now Open!

Kennewick, WA (Tri-Cities)

5216 W. Okanogan Place., Suite 120
Kennewick, WA 99336

509-537-2401

M-F 6am - 8pm
Sat-Sun 8am – 5pm

5216 W. Okanogan Place., Suite 120<br /> Kennewick, WA 99336