I recognise that there are certain inherent risks associated with the above-described treatment and I assume full responsibility for personal injury to myself. In exchange for such treatment, I hereby fully release and forever discharge CryoSkin Clinic Cairns (including its officers, members, owners, employees and agents) from any and all damages, costs, expenses, liabilities, causes of action, claims and demands, of whatever character, in law or in equity, whether known or unknown, direct or indirect, asserted or unasserted, and whether or not on account of myself, CryoSkin Clinic Cairns or other third parties, or in any way arising out of the above described treatment I have requested CryoSkin Clinic Cairns perform. It is the intention of the parties that this agreement binds all parties whose claims may arise out of or relate to the treatment or services provided by CryoSkin Clinic Cairns including any spouse or heirs of the client/patient and any children, whether born or unborn. I agree to indemnify, hold harmless and defend CryoSkin Clinic Cairns (including its officers, members, owners, employees and agents) against all third-party claims, causes of action, damages, judgments, costs or expenses, including lawyers’ fees and other litigation costs, which may in any way arise from the above described treatment.
By signing this agreement (consent form), I confirm that I am over the age of 18, I understand that the Cryolipolysis (Fat Freezing) procedure stimulates permanent changes, that such procedure has possible adverse consequences and that the procedure is for cosmetic purposes only. I certify that I have read the above paragraphs, fully understand this consent and procedure form and hereby consent to the indicated procedure(s). This means that I accept full responsibility for these and/or any other complications which may arise or result during or following the Cryolipolysis (Fat Freezing) procedure which is to be performed at my request according to this agreement. I further understand that by signing this agreement, I surrender certain legal rights.
The procedure is suitable for the spot reduction of fat. It is not a weight-loss solution. Clinical studies have shown the results to be proven. However, as with most procedures, visible results may vary from person to person and results are not guaranteed.