• Sculptingbodybeauty

    Consent form By Sonia Pelayo

  • Hi! So excited to be working with you today and helping you achieve those body goals you truly want! First, fill out this Pre- consent form to get started on your session today! You will fill out a paper consent form once you arrive, Thank you!

  • Format: (000) 000-0000.
  • Date Of Birth*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Medical conditions*

  • I am aware that if I have any of the  medical conditions on the eligibility list I will be turned away if I have not discussed any of these treatments with my physician/doctor and gotten approval. I am responsible for making sure Body Sculpting won't do any harm to me due to any of my medical conditions or worsen them. I am also fully aware that I am responsible for being honest about any medical conditions which can put me in serious danger. 

  • Time of your appointment *

  • I understand that Body Sculpting is different for every person and results may vary and that stronger results will be more noticeable as more sessions are completed.

    I will be honest and responsible about any medical conditions I have and making sure my doctor has agreed it is okay for me to do any Body Sculpting procedures such as Ultrasonic Cavitation, Body Radio Frequency, Facial Radio Frequency, Laser Lipolisis, and Vacuum bipolar Radio frequency. 

    I am aware that to detox and fully flush the fat cells out of my body as well as to see progress, I will have to be careful with my intake on food, be consistent with drinking good amounts of water daily, and know that exercise is suggested for faster and better results. 

    I am also aware that before and after photos will be taken of the area worked on today and can be posted on @Sculptingbodybeauty.


    However, If I have any additional questions I can refer to my technician who will gladly answer my questions. 

  • Todays date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Should be Empty: