I understand that my data will be strictly confidential. Sunset Silhouettes does not sell, share, or resell information. I acknowledge that my skin might experience temporary irritation, tightness, redness, bruising, and/or slight swelling which usually dissipates within 72 hours depending on skin sensitivity. I acknowledge that if I am allergic to one or more ingredients in the products used, I may experience allergic reactions. I acknowledge that this treatment is strictly elective cosmetic procedure and no medical claims have been expressed or implied. I understand that body sculpting can be used to reduce fat deposits, but is not intended to be used as a weight loss solution. To assist with success of Ultrasonic treatment, it is advised that I follow these simple aftercare pointers: Complete 30 minutes of exercise within 12 hours of treatment as well as 3 times a week. Drink 2 liters of water a day. Avoid alcohol, fatty foods and caffeine 24-48 hours post treatment. Follow a well balanced, healthy choice diet, filled with fresh fruits and vegetables. To reserve my appointment, a $25 non-refundable deposit is required. The amount will be applied to the services rendered. I certify that I am over the age of 18. I voluntarily elect to receive body sculpting treatments after the nature and purpose of the treatment has been explained to me. I consent (to the best of my knowledge) that the answers I have given in this form are true and accurate and that I have not withheld any information that may be relevant to my treatment. I understand that the following conditions may prevent me from having this treatment at this time and verify that none of the following conditions apply to me. (Cardiac arrest, cancer, infected, sunburnt, or swollen skin, pacemaker, or pregnant/nursing) I give consent for all future treatments. I confirm that if I withold some important information and complications happen, Sunset Silhouettes and its staff will not be liable. I release Sunset Silhouettes and its staff of any liability associated with any injuries and/or current and future conditions resulting from the body sculpting procedures or products. I release Sunset Silhouettes and its staff and hold harmless against any claims, expenses, damages, and liabilities. By my electronic signature below, I agree to the treatment policies and client agreement above.