Acknowledgment of Beauty and Medical Spa Treatments
I understand that beauty treatments, skin care, and massage practices-including. but not limited to, chemical peels, facial treatments, body treatments, laser therapies, IPL treatments, vein treatments, brown spot removal, microneedling. waxing, dermaplaning, intravenous therapy, hyperbaric oxygen therapy, massage therapies, and various other procedures-are not exact sciences. I acknowledge that results can vary, and no specific guarantees have been made concerning outcomes. While some clients experience greater improvements than others, most treatments may require multiple sessions for optimal results.
I also understand and assume the possible risks and hazards associated with these treatments, including but not limited to unsatisfactory results, soreness, poor healing, discomfort, redness, blistering, nerve damage, scarring, infection, changes in skin pigmentation, allergic reactions, muscle damage, potential increased hair growth and other general accepted risks and complications. I acknowledge that, despite precautions, not all risks can be anticipated in advance.
Given the above, I understand that responses to treatments vary individually, and specific results are not guaranteed. Therefore, in consideration of any treatments received, I agree to release, defend, and hold harmless Lux Clinic (Pty) Ltd, the treatment provider, and any related affiliates from any liability concerning any condition or result that may arise as a consequence of treatment.
Medical History and Disclosure
I confirm that I have disclosed all relevant medical information on my client intake form, including any medications, previous complications, or current conditions that may affect my treatment. I understand the importance of providing accurate and complete information and will keep the practice updated on any changes, including new medications or medical conditions that may impact my treatment results or safety.
Treatment Risks and Side Effects
I understand the potential risks and side effects of my treatment, which may include but are not limited to: Skin Sensitivity: Redness, swelling, bruising, or discomfort at the treatment site.
- Infection or Scarring: Rare but possible risks, especially with injectable or invasive treatments.
- Allergic Reactions: Possible reactions to products or anaesthesia used during treatment.
- Unexpected Results: As outcomes vary individually, no guarantees can be provided.
I am aware that achieving desired results may require multiple sessions, and results will depend on factors like skin type, treatment area, post-treatment care, and exposure to sunlight or tanning products.
Post-Treatment Care
I agree to follow all post-treatment care instructions provided by the Lux Clinic (Pty) Ltd staff. I understand that failure to adhere to these guidelines may result in suboptimal outcomes or complications, which are not the responsibility of Lux Clinic (Pty) Ltd or its affiliates.
Photography Consent and Release of Treatment Records
I consent to the use of photographs taken before, during, and after my treatment for documentation and educational purposes within the spa. I understand that these images will remain confidential and will not be shared publicly without my additional written consent. I consent to the release of my medical and treatment records, including photographs taken to document my treatment progress, on a de-identified basis (with all personal information removed) to third parties solely for educational or professional use.
Financial Responsibility
I acknowledge my responsibility for payment of all services, products, and follow-up treatments. I understand that elective cosmetic treatments are not covered by medical insurance.
Acknowledgment and Signature
By signing below, I affirm that I have read, understood, and agreed to all terms and conditions outlined in this consent form. I consent to proceed with the selected treatments under these terms. I agree that this consent form will apply to all current and future treatments at the practice until such time as I revoke the consent.