Consultation Form

PLEASE TAKE A MOMENT TO ANSWER ALL OF THE NECESSARY SKIN RELATED QUESTIONS.

We ask because pineapple contains bromelain. Bromelain is sometimes used in injectables and skincare to help reduce swelling and support healing.

If you are allergic we will avoid any product that contains it for your safety.

📸 Photo & Video Marketing Consent

If "Yes", please read and acknowledge the following:

 

• I give Elara Med Spa & Laser permission to photograph and/or record video during my treatment session(s) for use in promotional, educational, and social media content. 
  
• I understand that content may be posted on Instagram, Facebook, TikTok, the Elara website, and other marketing platforms.

• I understand that all content remains the property of Elara Med Spa & Laser and may be edited, altered, or shared publicly.

• I waive any right to inspect or approve the final media and understand that I will not receive any compensation for its use.

• I confirm that this consent is voluntary and does not affect my ability to receive services.

🔐CLIENT CONSENT, TERMS & CONDITIONS

 

Thank you for choosing Elara Med Spa & Laser. By signing this form, you confirm that you understand and agree to all policies in this document. This consent applies to all current and future appointments unless updated in writing.

 

1. Consent to Services

I voluntarily choose to receive aesthetic services at Elara Med Spa & Laser. These may include, but are not limited to: facials, dermaplaning, chemical peels, microneedling, laser hair removal, laser tattoo removal, fat-dissolving injections, neuromodulators or fillers if offered, and any future cosmetic treatments added by the clinic.

 

2. Accuracy of Information and Contraindication Disclosure

I confirm that the information I provide regarding my health, medications, skincare, and medical conditions is complete and accurate. I understand that undisclosed medical conditions, recent procedures, infections, or medications may increase risk. I accept full responsibility for any reaction or complication caused by incomplete or inaccurate disclosure and agree to update the clinic before any future treatment.

3. Cosmetic Nature of Services

I understand that all services at Elara Med Spa & Laser are cosmetic in nature and not intended to diagnose, treat, or cure any medical condition. These services do not replace advice or care from a licensed physician.

 

4. Treatment Risks and Possible Reactions 

I understand that aesthetic treatments may cause side effects including but not limited to:

redness, sensitivity, irritation, inflammation, swelling, bruising, dryness, peeling, flaking, breakouts, purging, texture changes, lumps or firmness at injection sites, pigmentation changes including hyperpigmentation or hypopigmentation, scarring, delayed healing, allergic responses, temporary discomfort, or any unexpected skin or body reaction.

 
I acknowledge that every person’s skin reacts differently.

 

5. Sanitation and Safety Acknowledgment

I understand that Elara Med Spa & Laser follows strict sanitation and hygiene standards. All tools, linens, and treatment areas are disinfected professionally. Any claim of unsanitary conditions must be supported with evidence.

 

6. Expectations, Result Variations, and Timeframes

I understand that results vary from person to person. No outcome is guaranteed. Photos seen online or in marketing represent individual results and may not reflect my own.

My anatomy, age, skin type, lifestyle, genetics, and aftercare all influence my results.

Results may take weeks or months to appear depending on the service.

Slow progress or subtle change does not indicate ineffective treatment.

 

7. Pre-care, Aftercare, and Product Use

 I agree to follow all pre-treatment and aftercare instructions.

I understand that using unapproved products, harsh exfoliants, scrubs, oils, or chemical treatments may interfere with results or cause irritation.

I accept responsibility for outcomes caused by improper aftercare or product use outside the provider’s recommendations.

 

8. Limitations of Liability for Treatment Reactions

I understand that Elara Med Spa & Laser, its staff, and contracted professionals are not responsible for complications or reactions caused by:

withholding medical information, allergies known or unknown, failure to follow aftercare, misuse of at-home products, the body’s natural healing response, pre-existing skin conditions, sun exposure, picking or scrubbing the skin, lifestyle choices, hyperpigmentation or irritation, or any outcome beyond the provider’s control.

 

9. Injectables and Fat-Dissolving Treatments

I understand that injectable procedures are elective and may require multiple sessions.

These are not weight-loss treatments. Swelling, firmness, and tenderness are normal.

Additional vials, touch-ups, or maintenance sessions may be required and are not included unless stated.

 

10. Touch-Ups and Additional Sessions

I understand that optimal results may require additional sessions or adjustments, which may incur additional cost.

 

11. Client Conduct and Professional Boundaries

I agree to treat all staff respectfully.

Aggressive, inappropriate, or disrespectful behavior may result in refusal of service or permanent dismissal.

 

 12. No Unauthorized Recording

I agree not to audio or video record staff or treatments without written permission.

 

13. Photography and Documentation

I understand that photos may be taken for treatment tracking and documentation, and may be used to legally protect the business if needed.

A separate consent is required for marketing use.

 

 14. Social Media and Defamation Policy

I agree to bring any concerns directly to management for resolution.

I agree not to post defamatory, misleading, or harmful content about the business or staff.

I understand that false or damaging public statements may result in legal action.

 

 15. Refunds, Payments, and Chargebacks

I understand that:

• Completed services are non-refundable.

• Promotions, packages, and memberships are non-transferable.

• Chargebacks for completed services are not permitted.

• Attempting a chargeback may result in legal action.

• The clinic may submit documentation to financial institutions if necessary.

 

 16. Cancellations, Rescheduling, and No-Shows 

• A minimum of 12 hours’ notice is required to cancel or reschedule.

• One reschedule is permitted. Additional changes require prepayment.

• No-show clients may not be rebooked.

 

17. Minors

Clients under 18 must be accompanied by a parent or legal guardian.

A parent or guardian must provide written consent.

 

 18. Consent to Communication 

I consent to being contacted by phone, SMS, WhatsApp, or email for reminders, follow-ups, or administrative purposes.

 

19. Right to Discontinue Treatment 

I may discontinue treatment at any time.

The provider may also stop or postpone treatment if it is unsafe to proceed.

 

20. Business Right to Modify Policies 

I understand that Elara Med Spa & Laser, its owners, management, and legal advisors may update or modify policies, procedures, pricing, or terms at any time without notice.

Booking or receiving services after updates indicates acceptance of the revised terms.

 

21. Limitation of Liability for Owners, Proprietors, and Staff

I understand and agree that Elara Med Spa & Laser, its owners, founders, proprietors, directors, officers, employees, contractors, affiliates, and investors are not personally or professionally liable for any adverse reaction, hyperpigmentation, irritation, allergic response, scarring, pain, emotional impact, dissatisfaction with results, lifestyle-related interference with results, complications from undisclosed medical information, or any outcome beyond the provider’s control.

 

I fully release the business and all individuals affiliated with it from any claim related to the services received.

I confirm that I have read, understood, and agree to all of the above Terms & Conditions. I have had the opportunity to ask questions and all of my concerns were addressed. I voluntarily consent to receive aesthetic treatment(s) from Elara Med Spa & Laser and accept full responsibility for following all professional instructions.