Language
  • English (US)
  • Forever Young Skin Care

    DISCLAIMER, TERMS & CONDITIONS
  • To allow Holistic Body Treatments A Microcurrent/Toning Device

  • Forever Young body treatments are a form of exercise using low-level electrical current to cause mild muscle contractions. Exercise is not without its risks, and this or any other exercise program may result in injury. They include but are not limited to the risk of injury, aggravation of a pre-existing condition, or adverse effects of overexertion such as muscle strain, abnormal blood pressure, fainting, disorders of heartbeat, etc. If you think you think you have a higher risk, before beginning this or any exercise program, please consult a healthcare provider for appropriate exercise prescription and safety precautions and to make sure you are healthy enough to receive Forever Young holistic body treatments. The treatments and advice here are in no way intended as a substitute for medical consultation.  We disclaim any liability from and in connection with this program.  As with any exercise program or body treatment, if at any point you feel faint, dizzy, or have any physical discomfort, you should stop immediately and consult a physician.

  • Clear
  •  /  /
    Pick a Date
  • Health History Form

  •  -  -
    Pick a Date
  • Please note: This form must be filled in and signed by the client wishing to begin a course of treatment. All treatments will be performed by fully trained operators using the recommended skin care products. All questions are answered truthfully by me and I understand that some conditions may be contraindications to receiving treatments. Forever Young Skin Care will therefor not accept any liability for injury or damages as a result of false information.

  • Do you have:

  • To the best of my knowledge, the above information is true.

  • Clear
  •  -  -
    Pick a Date
  • CONTRAINDICATIONS

  • Contraindications include but are not limited to:

    Pacemaker

    Epilepsy

    History of seizures

    Metal Plates

    Pins in the Area of Treatment

    Diabetes (ok with physician approval)

    Cancer (ok with physicians approval)

    Recent Surgery

    Blood clots or a history of blood clots

    PAD or any symptoms of poor circulation

    Phlebitis/Thrombosis

    Spine problems

    Pregnancy

    Recent child birth

    Any other medical problem that should require a physician's approval letter (attached)

    Do not use to treat muscular pain, atrophy, multiple sclerosis, etc. unless you are a licensed physician.

  • Media Release Form

  • I hear by give Forever Young Skincare, its legal representatives, and assignees in those acting with its permission, the right to copyright and/or use, reuse, and/or publish and re-publish images or video or written testimony of me and any advertising, promotion or public relations involving Forever Young Skin Care, and its products without conversation.

    Due to printing, photographing, and reproduction techniques, my image may be slightly distorted in character or form and I do not object to this.

    I hear by waive any right to inspect or approve the finished picture, advertising copy, or other matter that may be used in conjunction with an image or video or written testimony of my experience or of me.

    I hear by release, discharge, and agree to save Forever Young Skincare, its representatives, assignees, employees, or any person acting with his permission, from and against any liability as a result of any distortion, alteration, or use in the composite form of my picture or video or written testimony.

  •  -  -
    Pick a Date
  • Clear
  • WAIVER OF LIABILITY

  • This agreement releases Forever Young Skin Care in any person performing the treatments from all liability relating to injuries that may occur during, before or after Forever Young Skin Care treatments. By signing this agreement, I agree to hold forever young skincare and the person performing treatment entirely free from any liability, including financial responsibility for injuries incurred, regardless of whether injuries are caused by negligence.

    I also acknowledge the risks involved in body treatments. I have reviewed the contraindications listed on the back of his form and on the medical intake form prior to treatment and I acknowledge that I am in good health and have no health conditions or any other listed contraindications that would prevent me from treatments.

    I swear that I am participating voluntarily, and all risks have been made clear to me. Additionally, I do not have any conditions that will increase my likelihood of experiencing injuries while engaging in this activity.

    By signing below I forfeit all right to bring a suit against Forever Young Skin Care or any person performing treatment for any reason. I will also make every effort to obey safety precautions as listed in writing and explained to me verbally. I will ask for clarification when needed.

  • Clear
  •  -  -
    Pick a Date
  •  
  • Should be Empty: