You are not allowed to do body sculpting treatment if you are pregnant, breast feeding, have a lymphatic disorder, acute illness, metal implants, pacemakers, or are currently being treated for active cancer.
It is impossible to list every potential risk and complication. By signing this consent form you agree to have been informed of possible benefits, risks, and complications including but not limited to: redness, swelling, irritation, pain, increased heart rate, increased bowel movements, increased urination.
There are no guaranteed results and that independent results are dependent upon age, skin condition, and lifestyle and that you may require further treatments of the treated areas to obtain the expected results at an additional cost.
The treatment is non-invasive and you should feel no discomfort. You need to notify your technicianimmediately if you feel any discomfort.
You are advised to speak to your doctor prior to making any decisions about altering any medical regimen you are currently following, changing your diet, taking supplements, or going on an exercise and/or weight loss program. Getting your doctor's approval prior to starting any treatment is solely your responsibility.
• I understand there are no guarantees as to the results of this treatment.
• I understand that to achieve maximum results a series of 9-12 body sculpting treatments are recommended per area.
• I understand that I should consume a healthy diet and exercise regularly to achieve optimal results.
• I understand that if I feel any sort of discomfort during treatment I will notify my practitioner immediately who will then stop the treatment.
• I have been informed and understand that if I choose to continue treatment with discomfort it is at my own risk and I will release technician of all responsibility.
• I do not have any of these conditions: lymphatic disorder, cardiac issues, acute illness, metalimplants, pacemakers, or are currently being treated for active cancer.
• I am not pregnant.
• I do not possess metal or foreign objects in my body. If I do, I will notify staff prior to the start of eachsession.
• I am aware of potential risks and side effects including but not limited to: redness, swelling, irritation,pain, increased heart rate, increased bowel movements, increased urination.
• I understand that photographs and measurements will need to be taken in order to review and record results and will be kept in client file.
• I consent to being photographed for marketing purposes (your identity will not be disclosed).
• I understand that I will be banned from future service if I am inappropriate with Lissential staff and/or customers, to include but not limited to, vulgar language, sexual harassment, sexual assault, physical abuse, and discriminatory behavior. It is the discretion of Lissential staff to define in appropriate behavior.
• I understand that if I am banned, I do not qualify for spa credit or a refund for services not rendered.
Lissential Late & No-Show Policy
If a client is 15 minutes late, the appointment will be canceled and credit forfeited without refund. Any rescheduled appointments are at the discretion of the practitioners, but not required. All no-show appointments are non-refundable. Same day cancellations are non-refundable. All deposits are non-refundable. Cancellations must be made within 48 hours of the appointment.
Refund Policy:
Unfortunately, we cannot accept any refund request. All services (includes packages) purchased, scheduled or completed services are final and non-refundable. You may be able to exchange for another service of equal or less value if requested to exchange before 48 Hours of booked appointment. Services cannot be refunded based upon expected results. We are committed to assisting our clients with all their concerns and shall advise for correction in post treatment protocol and regimen to be followed. It may require a follow-up visit at the spa for a consultation.
My signature acknowledges that I agree to receive the treatments or series of treatments listed and that I will adhere to all of the aforementioned statements that I have initialed. I fully understand the risks and side effects associated with the treatment and voluntarily accept these risks. I agree that neither the service provider, it's staff, or any of it's partners will be liable for any injury, including, but not limited to, personal bodily injury, death, mental injury, economic loss or any damage to me, my spouse, or relatives resulting from any act of the service provider. I certify that I am over the age of 18.