Booking

Client Consent

SCOPE OF PRACTICE

Body sculpting increases flow of both the lymphatic and circulatory systems, and it also helps with cleaning of the tissues. The main use of body sculpting treatment is inch loss, diminishing of cellulite, and tightening of the skin.

Precautions

Body sculpting treatments are not recommended if you are pregnant, breast feeding, have a lymphatic disorder, acute illness, metal implants, pacemakers, or are currently being treated for active cancer.

Waiver

I understand that I am receiving Body Sculpting treatment at my own risk. Should I sustain an injury while using the equipment, I agree to not hold the service provider responsible.

Acknowledgement

I understand and acknowledge that payments for the above services are non- refundable. By my signature below, I certify that I have read and understand the contents of this Consent Form for Body Contouring. I further agree to provide 24- hour notice of a cancellation or change in appointment time, or I will forfeit a treatment off my package since treatments are by appointment only. There are no refunds if I am responding to treatment and decide to stop treatments. Should the service provider wish to use any photos of my progress other than for my personal file, I will sign a separate Photo Release form.

By signing below, I certify that the medical history provided today is accurate and complete to the best of my knowledge. By signing below, I acknowledge that I have read and understand this Body Contouring Client Consent Form, and I give my informed consent to receive body contouring services from the contouring specialist named below.

I understand that the results of body sculpting treatments may vary from person to person and that multiple sessions may be required to achieve the desired outcome. I acknowledge that I am responsible for following all pre- and post-treatment instructions provided by the provider to ensure optimal results.

I have disclosed all relevant medical information to the provider and have provided an accurate medical history. I understand that certain medical conditions may increase the risks of body sculpting treatments and that the provider may recommend against or modify the treatment plan based on my medical history and current health status.

I acknowledge that there are certain risks and potential complications associated with body sculpting treatments, including but not limited to:

  • Pain, discomfort, or bruising at the treatment site
  • Swelling, redness, or itching
  • Numbness or tingling
  • Changes in skin texture or color
  • Infection or scarring
  • Asymmetry or unevenness
  • Unsatisfactory results

I understand that I have the right to ask questions and to withdraw my consent at any time during the treatment process. I also understand that I may experience side effects or complications that were not discussed during the consultation.

I hereby release the provider and their staff from any liability arising from body sculpting treatments, except for instances of gross negligence or intentional misconduct. I also agree to follow all instructions provided by the provider and to promptly report any unusual symptoms or concerns.

By signing below, I acknowledge that I have read and fully understand this consent form and that I freely and voluntarily agree to undergo body sculpting treatments.