CORE Cryotherpy & Wellness Waiver

This questionnaire can be filled out using the form below and emailed to CORE Cryotherapy or you can download the PDF and print it and fill it out (it is about 6 pages long), everything is secure so nothing to worry about.
The only thing that can't be signed here is
Parental Consent Form.
Should you have any concerns or questions please call using the phone number at the top of the page.
NOTE: Please bring an ID with you
Our Ridgeland Location
141 Township Avenue
Suite 107
Ridgeland, MS 39157
Call Us » (601) 707-5676
Hours of Operation
Monday - Friday 9:30 - 6
Saturday 10 - 4
Sunday Closed
Closed All Holidays
Quick Links
Disclaimer:
The services provided have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure or prevent any disease. The material on this website is provided for informational purposes only and is not medical advice. Always consult your physician before beginning any treatment program.