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By Private Arrangement

Request to join

A short personal form — takes under two minutes. Once submitted, your details are sent directly to me via WhatsApp and I'll get back to you within a few hours to arrange a time.

1
Details
2
Health
3
Consent
4
Confirm

Your details

Just your name and a preferred time — I'll reach out via WhatsApp to confirm.

Required.
Please enter your name.
Please enter a preferred date or time.

Health pre-screening

Please answer honestly. This ensures your safety. If you answered Yes to any question, I'd recommend checking with your doctor before showing interest.

Do you have any current ear, sinus, or nasal conditions? (e.g. perforated eardrum, chronic sinusitis)
Please consult your doctor before proceeding. You're still welcome to reach out — we can have a chat about it first.
Do you have any lung or respiratory conditions? (e.g. asthma, COPD, history of pneumothorax)
Please consult your doctor before proceeding. Lung conditions may be contraindicated for pressurised environments.
Do you experience claustrophobia or anxiety in enclosed spaces?
Note: the chamber is spacious (2m × 1.2m × 2m tall) and the door can be opened at any time. Feel free to mention this in the notes below — happy to have a chat first.
Have you had any surgery, procedure, or significant medical treatment in the last 3 months?
Please consult your doctor first. Do mention it in the notes below so I'm aware — recent surgery may be a contraindication.
Do you have any cardiovascular conditions? (e.g. uncontrolled high blood pressure, pacemaker, recent heart attack)
Please consult your doctor before showing interest. Do mention your condition in the notes below so I'm aware.
Are you currently pregnant or suspect you may be pregnant?
I'm unable to accommodate sessions during pregnancy. Please check back after delivery and medical clearance.
Are you currently on any prescription medication?
Please note in the field below. Certain medications may interact with elevated oxygen environments.

Consent & waiver

Please read and confirm each statement. All four confirmations are required to proceed.

Liability Waiver & Release

Oxygen Rejuvenation is a private, home-based wellness experience. It is not a licensed healthcare facility and is not regulated by the Ministry of Health (MOH) or the Health Sciences Authority (HSA) of Singapore. The session is provided on a purely voluntary, private wellness basis. By proceeding, you acknowledge that you participate entirely at your own risk, that the host, the property owner, and any associated parties bear no responsibility or liability whatsoever for any adverse effects, injuries, health events, or losses arising before, during, or after your session, howsoever caused. This waiver is binding and irrevocable.

Review your details

Check everything looks right, then tap the button to send your request via WhatsApp. I'll reply within a few hours to confirm a time.

By submitting, you confirm that the information above is accurate and that you have read and agreed to the consent and waiver on the previous screen. Your details are sent directly to me via WhatsApp and are not stored on any server.