Choose Your Location

Personal Information

Please complete the following fields with your personal information. Fields marked with an asterisk (*) are required.

Alcohol Treatment

The undersigned has read, understands and agrees to the following:
  • Therapy Laser does not diagnose or treat any disease or medical condition.
  • The Therapy laser system is non-medical in nature and is therefore not covered by medical insurance plan.
  • Therapy Laser and its owners, officers, directors, managers, employees and franchise operators are held harmless of any and all liability related to the Laser system.
  • The undersigned will consult his physician prior to making any changes, which may affect his health.
  • TherapyLaser does not issue any guarantee and does not make any promises regarding individual results.
Note: Therapy Laser does not accept clients who are pregnant.

Questionnaire

Notice fees for absence

Madam, Sir, In order to help us provide you with a good quality service, it is necessary that you attend all your appointments. Please note that if you are unable to attend your appointment on the day and time agreed, you must notify us at least 24 hours in advance. Otherwise, you will lose your appointments. Late arrivals or repeated absences could obligate us to close your file. I was informed of this management policy.