Informed consent and health screening for whole-body cryotherapy (WBC) sessions in a cryosauna or cryochamber, covering extreme cold exposure risks, cardiovascular contraindications, clothing requirements, and ESIGN acknowledgment.
The Whole-Body Cryotherapy Consent & Screening is a ready-to-use healthcare & wellness template you can send for signature in minutes. It is written for 1 signer (client) and, by default, expires 30 days after it is sent if left unsigned. It covers cryotherapy, wbc, cryosauna, cold therapy, recovery, wellness. Like every Abundera Sign template it is a convenience draft structured for ESIGN Act and UETA compliance, not a substitute for legal advice. Each signed copy is sealed with PAdES-LTA digital signatures, dual RFC 3161 timestamps, and a tamper-evident evidence package in WORM storage.
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# Whole-Body Cryotherapy Consent & Screening > **Important — not medical advice.** For use by a licensed/qualified provider; screen for cardiovascular, respiratory, and circulatory contraindications before permitting any whole-body cryotherapy session. This service is not approved by the FDA to treat, cure, or prevent any disease or medical condition. --- ## Facility & Client Information **Facility Name:** ___________ **Technician / Operator Name:** ___________ **Session Date:** ___________ **Client Full Name:** ___________ **Date of Birth:** ___________ **Phone Number:** ___________ **Email Address:** ___________ **Height:** ___________ **Weight (lbs):** ___________ **Is this your first cryotherapy session?** ___________ --- ## Session Parameters **Session Goal:** ___________ **Unit Type:** ___________ **Target Temperature (°F):** ___________ **Requested Session Duration (seconds):** ___________