Body and/or Facial Contouring - Consultation Form

Name

First Name Last Name

Phone Number

Email

example@example.com

What is your area of concern?

How long has this area been a concern for you?

What bothers you? (Skin tightening, Cellulite, Fat)

Are you preparing for a special event? Do you have a goal date?

Have you had any treatments before? If yes, what kind?

Any recent weight gain or loss? If so, how much?

Any recent pregnancy? If so, how recent? Are you breastfeeding?

What are your overall goals?

Do you exercise regularly? How often? What kind of exercise?

How is your diet?

Do you have any medical conditions we may need to know about?

Do you have any known allergies?

Are there any additional concerns, or questions?

Pre & Post Treatment Information

It is important to drink a minimum of 40oz of water before your treatment. Avoid Alcohol 3-4 days prior to treatment. The liver will filter alcohol first, and fat cells later. Liquid activates the lymphatic and moisturizes the skin. Do not substitute carbonated begverages for waters! The more you are hydrated, the better results you will see. Make sure to drink large amounts of water (not cold) to flush out system. Do not each fatty foods within a 24-hour period before or after your treatment. This allows your body to focus on the fact we are trying to remove instread of new fat introduced. Each high protein, low carb and low sugar diet. While not encessary, you can maximize your results by exercising 2 hours after the treatment. Sweat and a high heart rate increase circulation, allowing your body to adjust with the newly released liquid from the fat cells. Contouring treatments are to be scheduled at least 1 week apart. There is a recommendatin of 8-10 treatments for the body, and 6 treatments for the face and neck.

Possible Side Effects

Some bruising may occur with the suction treatment and possibily with the heat of Radio Frequency treatment. It is minimal and it will resolve itself.

Terms & Conditions:
These terms and conditions will apply to all sales and promotions advertised by Bella Day Spa.

PROMOTIONS

-Promotions can not be used in conjunction with any other offers
-Promotions apply only to full priced treatments.
-Promotions are not refundable or transferable between clients.
-Packages are not able to be split between clients.
-Treatment packages are not able to be altered.
-Promotional pricing will only apply to new bookings made and paid for during the promotion period.
-Promotional pricing will not apply to bookings already made.
-Promotions are for a limited time and are subject to availability. Bella Day Spa may end a promotion at any time without prior notice.
-Bella Day Spa has the right to refuse treatment of any client in circumstances where it is deemed the treatment to be unsuitable.

TREATMENT PACKAGES

-60 days without scheduling or attending appointments after the 1st session date will result in termination of the package. NO REFUND!
-You must purchase your package in full, up front. We cannot give you our discounted package pricing if you want to pay per session.
-Package pricing is non-refundable/non-transferable and will expire 60 days after the first session. So please make sure to read all policies PRIOR to purchasing a package or booking an appointment.
-For optimal results, it’s best to do each session at a minimum 72 hours apart, Maximum 1 week apart. If you wait longer than 1 week between each session, you will not have the best results. Consistency is Key!
-Results from treatments may take up to 3-4 sessions to show results, and results will vary from client to client.

REFUND, CANCELLATION AND APPOINTMENT POLICY

All clients will be required to complete a consent form prior to their first appointment. Any changes to your circumstances, either your personal details or medical history must be advised to Bella Day Spa prior to any appointment. It is the client’s responsibility to disclose all medical issues to Bella Day Spa. Bella Day Spa cannot be held liable for any unknown or undisclosed medical issues. To ensure you get your full treatment we require you to arrive on-time to your appointment. If you are late, we may not be able to provide your full treatment. Any adjustment made to your treatment time due to late arrival will result in you being charged for the full appointment. In the event we are unable to perform your treatment due to late arrival you will be required to pay for the full treatment. In the case of prepaid treatments, the treatment will be forfeited. Bella Day Spa does not provide refunds for products or services as a result of a change of mind. We require a minimum of a 24 hour notice for any appointment cancellation. If the appointment is rescheduled with less than 24 hours notice prior to your appointment day, in the case of prepaid treatments, the treatment will be forfeited. A rescheduled appoint of non-prepaid service will result in the cancellation fee as annotated on our booking site.

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