Waiver

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Pregnancy, severe Hypertension (BP 180/100), recent heart attack, unstable angina pectoris, arrhythmia, symptomatic cardiovascular disease, cardiac pacemaker, peripheral arterial occlusive disease, venous thrombosis, acute or recent cerebrovascular accident, uncontrolled seizures, tumor disease, symptomatic lung disorders, bleeding disorders, severe anemia, infection, cold allergy, kidney and urinary tract diseases.

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I confirm that I DO NOT have any of the following conditions. Please check each condition you may have.

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We cannot allow any person who is or is planning to become pregnant in the next 8 weeks use the system

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Please indicate if you have any of the conditions listed below:

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