Body Sculpting

Body Sculpting

Consent Form
Thank you for your interest in having your body sculpting procedure with us. We are with you on your desire to reach your goals for a better body that helps boost your confidence and bring a better lifestyle.

Before your treament, please be sure to...
1. Drink 2 liters of water the day before
2. Avoid alcoholic drinks, caffine, and sugar 24 hours pre and post treatment
3. Do not eat anything 2-hours prior to treatment to avoid overstimulation
4. Please be sure no hair is present on or around the area to be treated
To help you achieve the best results, you should...
1. Drink 2-3 liters per day after treatment
2. Avoid alcoholic drinks, caffine, and sugar 24 hours post treatment
3. Massage treated area daily to prevent stagnant fat and toxins
4. Maintain a proper balanced diet and exercise regularly for long-lasting results and to avoid fat cells from reviving
Please take note that results may vary due to different factors (age, weight, etc) and the standard treatment count of seeing results ranges from 6-12 sessions.

During the treatment, you might hear a ringing noise and feel warm. If it is too discomrting, please advise your techinician.
Name

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Phone Number
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Email
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Date of Birth

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Referred Contact Method
Address

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Contact In Case Of Emergency
Name

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Relationship
Treatment
Areas to be treated
Does any of the following conditions pertain to you?
If you have answered 'Yes' to any of the medical conditions above, we advise you to see your doctor first before undergoing treatment with us. We reserve the right to not begin any treatment should we believe that such treatment may cause risk to our client due to the medical conditions the client has.
CONSENT

I hereby declare that I am of legal age and I understand that treatments for body sculpting do not guarantee absolute results. In order to achieve my desired results, I may be required to undergo several treatments with an appropriate diet and physical activity. I understand that non-invasive surgery procedures do not rid the body of visceral fat.

I hereby release and forever discharge Jess Beautiful LLC and my technician from any and all causes of action. I will hold harmless, Jess Beautiful LLC for any liabilities, damages, injuries whether seen or unforeseen.

I understand that any procedure under Jess Beautiful LLC does not constitute medical treatment or cure to any illness.

By signing this form, I declare that all information and declarations I have made above are true and correct to the best of my knowledge. I have had the opportunity to ask questions and which were answered to me and to my satisfaction. I have likewise read all the information above and give my consent with my full knowledge, understanding, and assumption to the risks involved in the treatment, without any coercion, inducement, or undue influence.
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Date

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