• Body Contouring Intake Form

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  • Format: (000) 000-0000.
  • Service and Area of Treatment

  • If I responded "no" or "not required" for a patch test: I request and consent to these procedures being carried out today without undergoing a sensitivity patch test. The sensitivity test, which if conducted, may indicate my sensitivity/allergy to the products. I understand the contents of this form and take full responsibility for my actions, thus absolving all other parties of their responsibilities, if any, associated with the supply of the products and service(s).

  • Allergy and Medical History

  • Procedure Consent

  • Although we take every precaution to ensure your safety and well-being before, during and after your service, please be aware of the possible risks below.

    • I certify that the medical history provided today is accurate and complete to the best of my knowledge.

    • I understand that body contouring can have certain side effects such as skin removal, redness,swelling, tenderness, cardiac issues etc.

    • I understand that body contouring does not treat medical conditions nor does it claim or guaranteeto treat or relieve any medical condition

    • I give permission to my therapist to perform the procedure we have discussed and will hold her and her staff harmless from any liability that may result from this treatment.

    • I have read and understand the post-treatment home care instructions. I am willing to followrecommendations made by my esthetician for a home care regimen that can minimize or eliminate possible negative reactions.

    • I understand that in the event I have questions or concerns regarding my treatment, I will consultThe Sweet Escape Spa immediately.
  • Privacy Policy

  • We value your privacy. We do not disclose your personal information or share it with other outside entities unless otherwise authorized by you. Your information is used for internal statistics, marketing, or educational purposes. We do not send spam emails. We only communicate with our clients and potential clients regarding new services, price changes, special offers, and appointment notifications.

    I understand that for legal purposes The Sweet Escape Spa will take photos before and after the service is complete.

  • Photo Release Waiver

  • I hereby grant and authorize The Sweet Escape Spa the right to take, edit, alter, copy, exhibit, publish,distribute and make use of any and all pictures or video taken of me to be used in an/or for legallypromotional materials including, but not limited to, newsletters, flyers, posters, brochures, advertisements,fundraising letters, annual reports, press kits and submissions to journalists, websites, social networkingsites, and other print and digital communications, without payment or any other consideration. Thisauthorization extends to all languages, media, formats and markets known or hereafter devised. Thisauthorization shall continue indefinitely, unless I otherwise revoke said authorization in writing.

    I understand and agree that these materials shall become the property of The Sweet Escape Spa and willnot be returned.

    I hereby hold harmless, and release The Sweet Escape Spa from all liability petitions, and causes of actionwhich I, my heirs, representatives, executors, administrators, or any other persons may make while acting on my behalf.

     

  • Company Lateness and Cancellation Policy

  • Our time is very valuable. To ensure that we can provide all of our clients with excellent service, we ask thatyou be on time to all of your appointments. Please arrive at least 5 to 10 minutes prior to your scheduled timeto ensure you receive your full appointment time.In the event that you should be tardy, we ask that you be considerate and call to inform us of your situationso we may take necessary action or make special arrangements. Please be aware that if you are 15 minutes ormore late to your appointment, you will be voided. You will need to reschedule. NO EXCEPTIONS.In the event that you need to cancel or reschedule your appointment, we asked that you notify us at least 48hours in advance of your scheduled appointment.

    WE RESERVE THE RIGHT: to charge 30% of the scheduled service price when cancelling orrescheduling less than 24 hours prior to your appointment.

    WE RESERVE THE RIGHT: to charge 50% of the scheduled service(s) on No-Shows.

    ** ALL CLIENTS MUST HAVE A CREDIT CARD ON FILE PRIOR TO BOOKING AN APPOINTMENT FORANY SERVICE TO GUARANTEE YOUR APPOINTMENT **

    The satisfaction of our clients is our main priority. We offer prompt solutions to any problems or concernsthat may occur. We do not offer refunds, credits, or exchanges for products sold or services rendered.If, for any reason, you feel dissatisfied with any of our services, please bring this to our attention .We appreciate all feedback, negative or positive, from our clients to better serve you. As part of our service welike to provide follow-ups in-person for any questions or concerns.

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