PEMF Contraindications Name * First Name Last Name Email * Do you have any of the following? * Hearing Aids, Battery-Operated Implanted Device (pacemaker, defibrillator, cochlear implant, etc.), an Organ Transplant, a Stent, External Metal Fixator or Metal Screws (###) ### #### Are you or your animal pregnant? * Yes No Do you or your animal have a stent? Yes No Do you or your animal have any external metal fixators or screws? Yes No Have you or your animal revived an organ transplant? Yes No Please provide details of any current or past conditions or injuries your animal may have. * Today's Date * MM DD YYYY Thank you!