BODY SHAPING & FACE CONTOURING TREATMENT CONSENT
My initials and signature below acknowledges that I have read the following and agree to receive the treatment or series of treatments listed above. I consent to authorize Sandra Flores or a member of Skin A Peel Beauty Lounge staff, to perform body shaping and contouring treatment, which may include Ultrasound Cavitation, Radio Frequency, Vacuum Therapy, Laser Lipo, Infrared Sauna, Electro Meso Therapy, and Metal Therapy.
Name
First Name
Last Name
Email
example@example.com
Type of Service
Area(s) to be treated
Type a question
I understand that with any treatments certain risks are involved and that complications or side effects from known or unknown causes can occur. I freely assume these risks.
The nature and purpose of the treatment have been explained to me and any questions I have regarding this procedure have been explained to my satisfaction.
I understand that with any treatments certain risks are involved and that complications or side effects from or unknown causes can occur. I freely assume these risks.
I have been advised of all the body shaping and contouring treatment contradictions (health or physical) conditions that prevent or prohibit the use of Cavitation, or Radio Frequency Therapy, Exfoliations, Detox Wrap, and Ice Sculpting. I have read them one by one, and I have clearly and freely expressed that I am in good health and do not have any contradictions.
I have been advised to communicate immediately to Skin A Peel Beauty Lounge staff if after starting my treatment my health conditions change, in order to stop or modify treatment.
During illness (fever) or menstruation, I will not be able to receive treatment. Therefore, I will need to change the appointment date.
It is highly recommended to drink at least 1.5 2 liters of water a day beginning a week before your session, on the treatment day, and the day after your treatment.
I have been advised that possible side effects include but are not limited to mild to extreme redness, bruising, local swelling, and mild and moderate edema (puffiness) which could last an average of 7 - 10 days.
It is highly important to follow a low-fat diet for optimal results after my treatment to obtain long-lasting results.
I have been advised to engage in 30 minutes of exercise per day (walking, strolling, swimming, stretching)
I consent to take photographs during my Body Shaping and Contouring treatment.
I am over 18 years old, and I have freely decided to obtain this treatment.
I am not pregnant, trying to become pregnant or breastfeeding.
I understand that there be no Refunds on deposits for services
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