Contraindications include:
Pregnancy (within 6 months)
Epilepsy
Uncontrolled Thyroid Gland Dysfunction
Uncontrolled Hypertension
Cardiac Arrhythmias or Heart Disease
Pacemakers
Recent or current history of cancer or actively undergoing radiation or chemotherapy
Liver/kidney disease
Photosensitivity to 650 to 660nm of light
Immuno-suppressed disorders
Current infection (including viral)
Currently not on Menstrual Cycle or haven’t been in the last 2 days
Individuals must reframe from the use of blood thinners, antibiotics (with-in 10days prior
to treatment), steroids (3 weeks prior)

I understand that with some skin types, there is a risk of temporary redness and/or
discoloration of the skin localized in the treatment area that can last up to several hours.
There is also a possibility of tattoo lightening if located in the treatment area.
I certify that I have been fully informed of the nature and purpose of the procedure,
expected outcomes, and possible complications. I understand that no guarantee can be
given as to the final result obtained. I am fully aware that my condition is of a cosmetic
concern and that the decision to proceed is based solely on my expressed desire to do
so.
I understand that it is my personal responsibility to inform the laser technician of the
clinic named above of any changes to my medical history during the course of laser
body contouring treatment sessions. I confirm that should this occur, I shall advise the
technician of any changes.
I certify that I have been given the opportunity to ask questions, any questions have
been answered to my satisfaction, and that I have fully read and understood the
contents of this consent form.

Before any treatments can be performed you must detox. Detoxing can be done In-office, allowing you to
receive treatment instantly after performing a foot detox. Or we can provide/ recommend a detox tea
which must be consumed at home and you may return back after 24 hrs to have any treatment perform.
● Avoid eating two hours before and after treatment sessions
● Avoid heavy meals on the treatment days.
● Drink plenty of water to facilitate lymphatic drainage
● Limit carbonated drinks, coffee, and tea during the treatment period.
● Avoid fasting or the body will go into “starvation mode” and become more resistant to the release
of stored fat.
● Within the two hours following treatment, the client MUST perform 30-45 minutes of
cardio-vascular work-out in order to create the energy demand that will facilitate metabolism of
the fatty acids and glycerol freed from the fat cells.
● Must wear shapewear 5 to 8 hours per day during the duration of receiving treatments the more
you wear the garment the more consort your body will become.
I certify that I have been counseled in the pre and post-treatment instructions and have been given a copy
of them. I have read and understand the instructions and realize that I must follow these instructions
diligently in order to obtain optimum results.

I, __________________, knowingly and willingly consent to have salon/ spa
service(s) during the COVID-19 pandemic:
I understand the COVID-19 virus has a long incubation period during which carries of
the virus may not show symptoms and still be highly contagious. It is impossible to determine
who has it and who does not, given the current limits in virus testing.
 I understand that due to the frequency of visits of other clients and characteristics of
the virus, and the characteristics of salon services, that I have elevated risk of contracting the
virus simply by being in the salon.
I confirm that I am not presenting any of the following symptoms of COVID -19 listed
below:

Temprature above 98.7

Shortness of breath

Loss of sense or taste or smell

Dry cough

Sore Throat

I confirm that if I present symptoms between now and my appointment that I will
cancel.

I also understand that I can be denied services if I show up with symptoms.

I confirm that I have not been around anyone with these symptoms in the past 14
days.

I do not live with anyone that sick or quarantined.

To prevent the spread of contagious viruses and to help protect each other, I
understand that I will have to follow the salons strict guidelines.

I understand that air travel significantly increases my risk of contracting my risk of
contacting and transmitting the COVID-19 virus.

I verify that I have not traveled outside the United States in the past 14 days to
countries that have been affected by COVID-19

I verify that I have not traveled domestically within the United States by
commercial airline, bus, or train within the past 14 days

Please be informed that all Weight Reduction treatments must be
completed entirely before any enhancement treatments can be
performed.

I agree to allow my photos taken to be used for social media and marketing
purposes.

I decline and only want my photos to be used for recording my results of
treatments.

 Bruising of the skin is very possible.
 Skin discomfort during the injections.
 Redness or swelling at the injection site.
 Lightening or darkening of the skin (transient or permanent)
 Itching and burning lasting 20 minutes to a few hours
 Scarring of the skin is unlikely.
 Nausea, dizziness and possible allergies to the Deoxycholic acid may
occur.
 Skin infection is a possibility any time a surgical procedure is done.
Arnica Montana tablets will be recommended to reduce bruising, swelling and
inflammation. Start taking it a minimum of 3 days prior to scheduled treatment.
By my signature, I acknowledge that I have been informed about the above
medications and give consent to its use in my treatment. I know that the practice of
medicine is not an exact science; therefore, no guarantee can be made as to the
results of my treatments. I understand that this treatment is strictly for cosmetic
purposes and will not be covered by insurance. I understand that I am responsible
for all costs payable at the time of service.
By my signature, I certify that I have thoroughly read and understand the contents of
this form and the disclosures listed above were made to me.

 Immediately after the treatment, the most commonly reported side-effects were
temporary redness, bruising and swelling at the injection site. These effects typically
resolve within 5 to 10 days. Cold or ice compresses may be used immediately after
treatment to reduce swelling.
 Continue taking Arnica Montana up to 7 days after each treatment to decrease
bruising and inflammation.
 Apply 1% Hydrocortisone cream or Benadryl spray or gel on treated areas to
reduce itching or redness.
 To minimize bruising, avoid Aspirin, Anti-inflammatory drugs, Gingko biloba,
Garlic, Flaxseed Oil, Vitamin E, Alcohol, spicy food, salty food and cigarettes
48 hours to 1 week after your treatment.
 It is normal to feel “firmness” in the injection site first day after treatment. In
some cases, a lumpy formation can be felt on the injected area. If necessary,
massage area gently 2-3 times a day up to 72 hours.
 Do not exercise for 24 hours after treatment. Avoid strenuous exercises,
sunbathing or tanning.
 Apply sun block and protect skin from sunlight.
 For treatment of neck areas, sleep with head elevated (3-4 pillows), and wear some
compression under chin (scarf or head band).
 Call us immediately if you start experiencing these symptoms or develop any
persistent side effect

Overview
The Purpose of this Zoom Seminar is to educate women on dietary & physical wellness to
develop a healthy lifestyle while maintaining a curvaceous & toned figure. In addition to
dietary guidance we will also perform some key home workout movements to help them
stay toned and shed unwanted body fat.
Nutritional Coaching Overview
These are the topics covered during the Nutritional Coaching Session
1. Nutrition Foundations
2. What to Eat to lose body fat and tone
3. How to save money and eat healthy!
Workout Overview
This zoom workout session is designed to help women identify which workouts they can do
at home to tone their body and burn unwanted fat.
1. Dynamic Stretch to warm body up for session
2. Lower Body Blast to have a round desirable glute
3. Upper Body Sculpt to tone and define arms
4. Core Burn to remove midsection belly fat and define abdominal

Mindset Overview
In this training we will cover the mindset required to take your fitness goals to the next
level through strategy & execution
1. Knowing your why
2. Accountability
3. Reward Based Results
Investment: $50
Bonus:
I will also be offering 1 on 1 Complimentary Fitness Consultations (15 minutes) to each
participant, to help customize dietary & fitness strategy