TruFlex - Consent Form & Pre/Post Care Logo
  • TruFlex

    Consent Form & Pre/Post Care
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  • TruFlex Consent Form

  • I hereby authorize Peachy Laser Lounge's clinical team to treat me with the truFlex device. I understand that this procedure works by using electrical stimulation to tone, firm and strengthen the abdomen, obliques, thighs, glutes, and possible other areas. There is little or no downtime associated with this treatment. I understand my results are influenced by my specific lifestyle and each person may experience different outcomes.

  • The procedure may result in the following adverse experiences or risks:

    • A risk of increasing patient’s heart rate.
    • Some patients may experience skin irritation or hypersensitivity due to the electrical conductive medium.
    • Allergic Reaction may occur under the area where the gel pad is applied.
    • Tingling and/or numbness in the treatment area may occur.
    • Moderate discomfort during treatment is expected. Some discomfort, tenderness and muscle soreness in the treatment area may persist for a few hours following treatment, potentially extending to a few days.
    • Bruising may occur in the treatment area.
    • Burns beneath the electrodes have been reported with the use of powered muscle stimulators. If this occurs, please call our office for wound management instructions.
    • Frequent Urination/Bowel Stimulation may be caused by the procedure.
    • Increase in metabolic rate results in feeling hungry more frequently. Please be aware of this and refrain from overeating post-treatment.
  • By signing below I confirm that I do not have a cardiac implant (including defibrillator/pacemaker) nor have I been diagnosed with Myocardial Arrhythmia or Epilepsy. Furthermore, I agree to keep Peachy Laser Lounge's clinical team informed should I have a defibrillator/pacemaker or any cardiac device implanted or be diagnosed with Myocardial Arrhythmia or Epilepsy during the course of treatment. I understand that this procedure should not be performed on patients who have a cardiac implant (including defibrillator/pacemaker) or have been diagnosed with Myocardial Arrhythmia or Epilepsy.

    For women of childbearing age: By signing below I confirm that I am not pregnant and do not intend to become pregnant anytime during the course of treatment. Furthermore, I agree to keep Peachy Laser Lounge's clinical team informed should I become pregnant during the course of treatment. I understand that this procedure should not be performed on patients who are pregnant.

     

    ACKNOWLEDGMENT
    BY MY SIGNATURE BELOW, I ACKNOWLEDGE THAT I HAVE READ AND FULLY UNDERSTAND THE CONTENTS OF THIS INFORMED CONSENT FOR THE TRUFLEX PROCEDURE, AND THAT I HAVE HAD ALL MY QUESTIONS ANSWERED TO MY SATISFACTION BY MY HEALTHCARE TEAM.

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  • TruFlex Pre/Post Care Instructions

    *Please screenshot or print this off to refer back to*
  • Before your treatment:

    • Hair in the treatment and gel pad area may need to be shaved.
    • Be well hydrated prior to treatment.
    • Body piercings may need to be removed if under or near the treatment area.
    • Do not exercise within the 12 hours prior to treatment, as it may affect your tolerability of the treatment.
    • Notify clinic of any changes to your health history or medications since your last appointment.

    After your treatment:

    • Frequent urination and/or bowel stimulation may be caused by the procedure.
    • Tingling/Numbness in the areas treated up to a few hours after procedure.
    • Slight muscle soreness/tenderness 24-72 hours after procedure.
    • Random muscle contractions after procedure.
    • Increase in metabolic rate results in feeling hungry more frequently. Please be aware of this fact and DO NOT overeat.
    • Burns beneath the electrodes have been reported with the use of powered muscle stimulators. If this occurs, please call our office for wound management instruction.

     

    If you have any questions or concerns, please email: peachylaserlounge@gmail.com or call: 778-867-2981

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