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  • Wellness & Aesthetics Begin Your Wellness Journey

    Client Consultation & Wellness Waiver
  • Format: (000) 000-0000.

  • Date of birth*

  • Format: (000) 000-0000.

  • Medical information

  • Are you taking any blood thinner medication?*
  • Are you taking any photo-sensitizing medications (e.g. isotretinoin/Accutane within 6 months) or anti-inflammatory drugs like prednisone?*
  • Are you currently pregnant/ have recently birthed or breastfeeding? Check all that applies.

  • If pregnant or post partum how far along?

  • Allergies or sensitivities to essential oils?*

  • If yes, please list your allergies/sensitivities

  • Do you wear eye contacts or have lens implant/ intraocular lens?*
  • Do you have any injuries?*

  • If yes, please explain

  • Do you have any internal hardware (screws, plates, pins), joint replacements, or a history of major surgeries? Knowing your structural history helps me avoid sensitive areas and adjust my techniques safely.*
  • Have you undergone any aesthetic or cosmetic procedures (face or body) within the past 6 months? Fillers, botox, tummy tuck, bbl etc.*

  • If yes to any surgeries, please list the procedure and approximate date.

  • Do you have any medical condition that I need to be aware of?*
  • Please indicate any condition/s that applies to you

  • Please explain the condition above if marked or medical condition not listed.

  • Read carefully

  • Prep for your session

    For the best results, please increase your water intake starting at least 48 hours before your treatment. Proper hydration allows your body to effectively prepare tissue—making your fascia and muscle layers more pliable for therapeutic bodywork, optimizing cellular fluid exchange for lymphatic drainage, and helping your system process and flush metabolic waste during detox and body contouring sessions.

  • Prep for Body Contouring & Lymphatic Drainage

    Avoid Alcohol/Caffeine for 24 hours prior. Eat Light - Avoid heavy meals 2 to 3 hours before your appointment. Clean Skin - Arrive with no lotions, oils, or perfumes on the area. Dress Comfy - Wear loose clothing to your appointment.

  • Acknowledgement & Consent

  • Date*
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  • Should be Empty: