I,blanksaffirm that I was informed about all the risks, benefits, side effects, and all general warnings relegated to the treatment(s). I, blank commit to follow all of the instructions that were given to me by the professional/company that is seeing me and to use all of the products that were suggested for my home care treatment. I am aware that appointments canceled with less than 24 hours notice will me fully charged. Also, I hereby confirm that all of the information contained in this form is true, and any false/ omitted answers are not responsibility of the professional or this insitution.