1. Nature of the Treatment: I acknowledge that I am receiving one or more of the following treatments: ESWT (Focused Shockwave Therapy), EMTT (Electromagnetic Transduction Therapy), Carboxytherapy, PRP (Platelet-Rich Plasma), and/or Infrared Light Therapy. These treatments are intended to address conditions such as erectile dysfunction, Peyronie’s disease.
I confirm that the purpose, nature, potential benefits, and expected outcomes of these treatments have been fully explained to me, both verbally and through the educational information provided under the “Clinical Insights” section. I understand that while these treatments are based on current clinical research, individual results may vary, and no specific outcomes can be guaranteed.
I also confirm that I have consulted with my urologist or GP and have their support in trying this alternative treatment route for my condition. I have been given the opportunity to discuss these treatments with my healthcare provider, and all my questions have been addressed to my satisfaction. Should I have any further questions or need additional information, I understand that I can schedule a complimentary 20-minute consultation through our Contact Page under the “Book a Treatment” section. and this consultation is done as a informative non medical discussion.
I consent to proceed with the recommended treatment(s) and accept the associated risks.
2. No Guaranteed Results: I acknowledge that while these treatments are based on current medical research and clinical practices, results may vary between individuals, and there are no guarantees regarding the success of the treatment.
3. Potential Risks and Side Effects: I have been informed of the potential risks and side effects, which may include but are not limited to:
- Temporary discomfort or pain during or after treatment
- Bruising, swelling, or redness at the treatment site
- Potential ineffectiveness or need for additional treatments
4. Voluntary Participation: I confirm that my participation in this treatment is voluntary, and I have the right to discontinue treatment at any time without affecting my future care at this clinic.
5. Alternative Treatment Options: I understand that alternative treatment options have been explained to me, and I have had the opportunity to ask questions and discuss these options.
6. Medical Information Disclosure: I confirm that I have provided accurate and complete medical history and information to the best of my knowledge, including any medications, conditions, or previous treatments that may affect the safety and efficacy of this therapy.
7. Data Privacy and Confidentiality: I understand that my medical information will be kept confidential in accordance with legal requirements and will only be shared with relevant healthcare providers involved in my care.
8. Consent to Treatment: By contacting us online, I acknowledge that I have read and understood the information provided above, and I give my consent to the treatments provided and accept the risks involved. I confirm that I have consulted with my urologist or GP and have their support in exploring this alternative treatment route for my condition.
9. Mr. Viuff is the founder of Shockwave Clinic. He does not hold a medical license or have a formal medical background. Any information he shares regarding erectile dysfunction (ED) or Peyronie’s disease (PD) is based solely on firsthand experience and personal insights. For medical advice or diagnosis, patients are encouraged to consult a licensed medical professional. Shockwave Clinic operates within a multidisciplinary framework, supported by qualified healthcare providers to ensure the highest standard of care.