Ocean Love Sculpting Documents

Aloha, as the technician of Ocean Love Sculpting, I'd like to take this opportunity to welcome you as a new client of mine. I am thrilled to have you. I value offering my clients responsive, quality, and excellent services. My clients are the most essential part of my business, and I work to ensure complete satisfaction in my patient care.

I am happy to inform you that I will be your primary point of contact for this company. My name is Chantal Castillo, I am your Certified Beauty Technician. I will be more than happy to answer any questions or concerns you may have throughout your journey!

We always start with a complimentary 15 minute consultation. Here is where I will educate you on your service of interest and answer any questions you may have. This is also where we will discuss payment options and a 50% deposit.

I would love to analyze your "body goals" before I see you so I can help you determine how many sessions you will need. Please attach your "BEFORE" pictures before we proceed any further.

Your pictures are confidential with me unless you agree to post.

There is great information to access on my website for you to go over before our one on one call.

Website: OCEANLOVESCULPTINGHI.COM
Please upload your before pictures HERE

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IMPORTANT information regarding those who may not be subject to these treatments.

1. Those who are pregnant or Lactating.

2. Those with heart disease or who are equipped with pacemakers.

3. Those whose wounds have not healed and who are recovering from operation.

4. Those with epilepsy, severe diabetes and hyperthyroidism.

5. Those with malignant tumors, hemophilia or severe bleeding.

6. Those with skin diseases and infectious diseases.

As your Technician I ask that you please consult your Doctor if you are experiencing any of he above to ensure your safety and well-being.
OCEAN LOVE SCULPTING, CLIENT PROFILE AND MEDICAL HISTORY
Name
DOB
Age
Address
Email
example@example.com
Phone

Area CodePhone Number
Emergency Contact (Name/Phone)

Area CodePhone Number
Describe any aesthetic services you've received in the last 6 months
Have you consumed at least 1 liter of water today prior to treatment?

No,Yes
Describe any aesthetic services you've received in the last 6 months
How did you hear about OCEAN LOVE SCULPTING?
Check if you have an of the following, if yes briefly explain:

High Blood Pressure High CholesterolPace Marker or Devices in BodyLiver DisordersMetals in BodyBreast FeedingHIV/AIDSBleeding DisordersHigh Blood PressureHigh CholesterolLiver DisordersRespiratory DisordersNeurological DisordersCardiac DisordersLymphatic DisordersPsychological DisordersDiabetesSeizuresCancerAccute illness (cold/flu/diarrhea/etc.)Other
Skin Disorders
Describe all surgeries and the year you received them
List all allergies and your reactions:
List all medications/herbs/supplements currently or recently taken
List any medical or non medical condition your technician should be aware of
Specific Appearance problems and treatment goals
SKIN DESCRIPTION/ Skin condition

DRYOILYNORMALACNE PRONE
Is your skin fragile or sensitive, if yes?
Do you have problems healing from injury to skin, if yes describe?
Are you primarily inside or outside?
Do you currently use sun block regularly?
Have you ever had a cold sore?
By signing below, 1 verify that I am in good physical condition and the information documented is necurate and complete. I have no physical restriction, condition, or disability which may prevent me from receiving the prescribed skin care and/or body treatment therapies. I hereby give my consent to have the recommended procedures performed on me.
Name

First NameLast Name
Date

MonthDayYear
Date
Signature

Clear
DATE/BODY MEASUREMENTS ARE TO BE LEFT BLANK PLEASE
DATE:
DATE:
DATE:
DATE:
DATE:
DATE:
Upper ABD
Lower ABD
R/L Arm
R/L Arm
R/L Arm
R/L Thigh
R/L Thigh
R/L Thigh
R/L Thigh
Informed Consent for Non-Surgical Body Contouring

I understand that certain procedure(s) elected are relatively new and little is known about their long-term safety and effectiveness. I understand that each person has a different response to Body Contouring.

I understand that the procedure(s) do not correct health problems, including but NOT limited to diabetes, heart attack, stroke, high cholesterol, blood clots, lung problems, stomach, intestinal problems, bladder disease, and abnormality of the skin. OCEAN LOVE SCULPTING is NOT a medical facility and does NOT make medical decisions. You must consult with your Primary Care Physician for medical advice.

I understand that I may need post procedure care. I will dutifully be responsible and compliant with the recommendations from OCEAN LOVE SCULPTING. Clinician, which may include, but are not limited to skin care, products, garments, etc.

I understand that procedures involve risk. Risk may include, but not limited to redness, swelling, irritation, burns, skin reactions, etc. I must immediately report any unusual symptoms known to me to my OCEAN LOVE SCULPTING Clinicians that includes, but NOT limited to being aware of any slight nature or prominence of persistent chills, fever, redness, increased warmth, excessive bruising or swelling, etc. at the sites treated and systematically.

I give OCEAN LOVE SCULPTING permission to use data about my treatment for research purposes. I understand that my name and personal identifying information will remain confidential unless I have written permission to disclose this information.

I give OCEAN LOVE SCULPTING professional permission to photograph/video my procedure(s).

I have decided that the benefits of body contouring outweigh the potential for complications and all claims have not been evaluated by any regulatory board. I understand the nature of the procedure(s) and ANY and all possible risks mentioned and not limited to. I attest that I am of clear mind, competent, and not under any distress.
ALTERNATIVE TREATMENTS
It has been explained that other temporary and more permanent treatments are available to sculpt, contour, tone, exfoliate, clean and detoxify the body. Alternative forms of management include receiving NO treatment at all. If treatment is chosen alternative body sculpting therapies and other services offered include the following: Lipo Laser, Ultrasound Cavitation, Vacuum Therapy, Wood Sculpt, Topical Skin Therapies i.e. gels, creams, oils, facials etc. I understand that risk and potential complications are associated with these and alternative forms of non-surgical and surgical treatments.
CANCELLATION POLICY
If there is a need to cancel for any reason, we ask for a 24-hour notice. "NO SHOW" for appointments made outside of normal business hours WILL result in a $20 service charge deductible from the prepaid service package. Remaining balance will be applied towards the next service appointment with regards to TIME LIMITS (Initial) blank .

Specials, Flash Sales & Promotional Priced Services MUST BE completed within 30 days of purchase date (Initial) blank . Regular Price Services MUST BE completed within 60 days of purchase date.
I understand that NO GUARANTEES OR WARRANTIES have been made to me regarding the outcome or to my condition due to the procedure(s) I have elected to undergo. I am paying for a service improvements any and not desired results from treatments. I have been given the opportunity to ask questions and have received satisfactory answers to those questions by the treating staff representative (Initial) blank .

I consent to the taking of photographs/video for documentation during my treatment(s) unless otherwise stated with written notice to These photos may be used for marketing and/or publication for the further benefit OCEAN LOVE SCULPTING is to educate the public. All attempts will be made to protect my identity. I agree to indemnify, hold harmless and release OCEAN LOVE SCULPTING, its employees, members, representatives, affiliated organizations, and others acting on the Company's behalf of all claims, demands, causes of action and legal liability, whether the same be known or unknown, anticipated or unanticipated. I further agree that except in the events of the Company's gross negligence or willful misconduct, no claims, demands, legal actions and causes of action shall be made against the Company for any economic and non-economic losses of any kind (Initial)
blank .

Finally, I certify that I have read and fully understand the contents of this form at the disclosures referred to the above were made prior to my signing the form below (Initial)blank .
NO REFUND OR RETURN POLICY. ALL SALES ARE FINAL

I ACKNOWLEDGE THAT I HAVE HAD A FAIR OPPORTUNITY TO ASK QUESTIONS ABOUT PUT YOUR BUSINESS NAME HERE'S PROCEDURES FOR BODY CONTOURING AND THE ALTERNATIVE TREATMENTS AVAILABLE. I ALSO ACKNOWLEDGE THAT MY QUESTIONS HAVE BEEN ANSWERED TO MY SATISFACTION. I UNDERSTAND AND ACCEPT THE POTENTIAL RISKS AND COMPLICATIONS INVOLVED.
Name

First NameLast Name
Date

MonthDayYear
Date
Signature

Clear
Client Health
Prior to the start of my service, I confirm that (PLEASE INITIAL EACH BOX):
I have not been diagnosed with or cared for diagnosed with COVID 19 in the past two
1 have not shown symptoms of COVID 19 or in close contact with anyone exhibiting symptoms in the past two weeks.
I have not traveled outside of my immediate daily routine for the past two weeks.
I do not have a cough,fever,chills,shortness of breath, or lost of taste or smell.
If I begin to show symptoms of COVID-19 withinthe next two weeks I will contact my technician.
I will follow all rules that adhere within thefacility, to keep me safe and my technician safe at all times.
Full Name
Signature

Clear
Date

MonthDayYear
Date
Should be Empty:

OCEAN LOVE SCULPTING, CLIENT PROFILE AND MEDICAL HISTORY

DATE/BODY MEASUREMENTS ARE TO BE LEFT BLANK PLEASE

DATE:

DATE:

DATE:

DATE:

DATE:

DATE:

ALTERNATIVE TREATMENTS

CANCELLATION POLICY

Client Health