top of page

CLIENT FORMS

TELL US ABOUT YOURSELF

If you are a new client to BuffaloCryo, we will need you to fill out a health form prior
to your first session. To speed up the process, we encourage you to complete
this step before your appointment by filling out the form below.

arrow&v

Severe Cardiovascular Conditions
Below are yes and no questions. Please respond accordingly.

Do you have untreated hypertension? *
Do you have peripheral arterial occlusive disease? *
Have you had a heart attack within the previous six months? *
Do you have valvular heart disease? *
Do you have unstable angina pectoris? *
Do you have Ischemic heart disease? * Yes
Do you have any heart surgery conditions? *
Do you have a pacemaker? *
Do you have decompensating diseases (edema) of the cardiovascular and respiratory system, congestive heart failure, COPD or chronic liver disease?
Do yo have Deep Vein Thrombosis (DVT) or known as circulatory dysfunction?
Do you have Raynaud's Disease?
Do you have bacterial or viral infections of the skin, wound healing diorders (open sores or discharging wound/skin condition)?
Do you have vasculitis?
Do you have severe anemia?
Do you have heavy consumerist diseases 9abnormal bleeding)?
Do you have diabetes?
Do you have acute kidney orurinary trct diseases ?
Do you have seizure disorders?
Do you have Hyperhidrosis (heavy perspiration)?
Do you have polyneuropathies ?
Do you have acute febrite respiratory (flu-like respiratory conditions)?
Are you claustrophobic?
Do you have cold allergenic phenomenon(known allergy to cold contactants)?
Do you have alcohol or drugs reated contraindications?
Are you pregnant?
Which of the below situations apply?
Are you currently receiving physical therapy
Have you had any cosmetic treatments (includingbotox or similar injectables, cellulite reduction, weight loss procedures, implants)

Fact Sheet - Whole Body Cryotherapy (WBC)

The word ”Cryotherapy” stems from the Greek words: “cryo” or cold, and ”therapeia” or cure. Hence, whole body cryotherapy (WBC) is being studied as a curative and overall beneficial treatment involving skin exposure to extremely low temperatures (below -130oC/ below -266oF). Since the cooling process affects no more than 5% of the body (i.e. the parts that safely endure the variations of temperature), the treatment generally is comfortably endured. These temperatures have potential medicinal and aesthetic benefits.

Endocrine System
The extreme cold exposure is believed to cause the body to turn up its metabolic rate in order to produce heat. This effect lasts for 5-8 hours after the procedure, causing the body to ‘burn’ 500 – 800 calories. After several procedures, the increase in metabolic rate tends to last longer between treatments. Another ‘survival reaction’ to the extreme temperatures is the release of endorphins (hormones) that have analgesic and anti-inflammatory properties, and improve mood disorders. WBC has been studied for the successful treatment of medication resistant depressive disorders.

Skin
The outer skin is briefly frozen, which is believed to increase production of collagen in deeper layers of the skin, keeping skin looking young and vibrant. Skin vessels and capillaries undergo severe vasoconstriction (to prevent core temperature from dropping), followed by vasodilation after the procedure. Toxins and other stored deposits are flushed out of deeper layers of the skin and blood perfusion is improved after several treatments. The anti-inflammatory properties of WBC may ameliorate chronic skin conditions such as psoriasis and dermatitis.

Musculoskeletal System
The anti-inflammatory and analgesic properties of WBC can improve symptoms of ankylosing spondylitis, as rheumatoid- and osteoarthritis. Athletes utilize WBC to speed recovery injury or exercise-induced muscle damage and to optimize key components of performance.

bottom of page