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Body Sculpting

This form ensures strict confidentiality. By completing this form, you will provide valuable
information about your general state of Health, enabling our aesthetician to tailor a
customized course of treatment for you. I hereby declare that the information I have
provided regarding my medical history is accurate to the best of my knowledge. I
acknowledge and accept responsibility for my any admissions concerning my failure to
disclose any existing or past conditions.

CONSENT FORM

Please be advised that any medical or cosmetic procedure involves inherent risks, potential complications, and varying outcomes in terms of effectiveness. The objective of this document is to ensure that you are fully informed about the nature of the procedures, as well as the associated risk, to make an informed decision regarding your willingness to proceed with any specific treatment or procedures.

PROCEDURES

Before undergoing Body Sculpting Cavitation or any other inch loss procedures, an initial consultation will be conducted with a consultant to assess your eligibility as a candidate. During this consultation, you can seek clarification, ask questions, and express any concerns regarding the treatment.

If it is determined that you are indeed a suitable candidate, a series of preliminary steps will be required. These steps include completing initial paperwork, taking measurements, capturing pre and post-treatment photos, and receiving a recommended course of treatment.


For optimal results, it is recommended that clients undergo a minimum of 6 or more treatments, as this therapy requires a cumulative effect to achieve the desired outcome. A healthy diet and regular exercise should complement this treatment.

If you are not currently engaged in an exercise regimen, it is advisable to consult a healthcare professional before commencing any exercise program. This will help ascertain whether your
the body can perform such activities.

RISK/DISCOMFORT

Our treatments are designed to be non-invasive, ensuring a comfortable experience for our clients. We aim to ensure that there is no discomfort during the treatment process. However, the treatment will be immediately terminated if a client experiences discomfort, such as warmth or any other form of discomfort. We strongly encourage clients to promptly report any discomfort to our skilled aesthetician.


Should clients continue the treatment despite experiencing discomfort, they must assume full responsibility for any associated risks. As the service provider, we cannot be held liable for any adverse effects arising from the client's decision to proceed under these circumstances.


Please be advised that our procedures are recommended for individuals 18 or older. This age restriction ensures the safety and well-being of our clients.

BENIFITS 

Our treatment offers the potential benefit of body contouring without surgery. It is specifically designed to target problem areas or excess pockets of fat. While this treatment can be utilized on various body areas, the most treated areas include the stomach, hips, flanks, and thighs. In clinical trials, patients have experienced an average reduction of 2-5cm in the circumference of their abdomen, hips, and thighs. However, it is essential to note that individual results may vary, and we cannot guarantee or imply the achievement of desired outcomes.

We understand the importance of providing realistic expectations to our clients. Therefore, we encourage individuals to consult with our experienced professionals, who can assess their unique circumstances and provide personalized recommendations based on their specific needs and goals.

QUESTIONS

By affixing your signature below, you certify that you have received a thorough explanation of the procedure and are satisfied with the information provided. We value open communication and encourage you to contact your aesthetician with any additional questions or concerns.


Our facility prioritizes client satisfaction and is committed to ensuring that you clearly understand the treatment process. Our dedicated team of aestheticians is ready to address any inquiries and provide you with the necessary support and guidance throughout your journey.

CONCENT

I have thoroughly reviewed this consent form and acknowledge that my consent and authorization for the procedures outlined are voluntary. I grant Bodyzon the authority to perform the requested treatment by signing the informed consent form.


I affirm that the purpose of this procedure, along with its associated risks, complications, and alternative treatment methods, has been fully explained to me in a manner that satisfies my understanding.


Bodyzon prioritizes patient education and provides all necessary information to facilitate informed decision-making. Our dedicated team of professionals is committed to addressing further questions or concerns regarding the treatment process. The cosmetic indications for these procedures encompass a range of aesthetic concerns, including, but not limited to, cellulite reduction, targeted treatment of problem fat areas, skin tightening, and skin rejuvenation.


Following the treatment, you may experience temporary effects, such as increased redness in the treated area or mild abdominal discomfort, which typically subsides within 12 hours.


Rest assured, our procedures are designed to allow you to resume your normal activities immediately after treatment.


Additionally, we may request to take photographs to document and showcase the progress of our clients. These photographs may be used for marketing purposes, with utmost respect for privacy and confidentiality.


Our team is readily available to assist you if you have any further inquiries or require additional clarification.


The individual has been duly explained the prospective hazards and untoward consequences associated with all procedures and treatments encompassing, although not restricted to, erythema, edema, heightened sensitivity to heat, discomfort, increased bowel movements, and increased urination. The risks, probable harms, and adverse side effects have been explained in detail, and the individual comprehends the abovementioned.

It is essential to acknowledge that the attainment. Optical results may necessitate a minimum of eight or more treatments. Subsequently, a thorough reassessment shall determine the potential requirement for additional sessions to attain realistic objectives effectively. It is crucial to recognize that every individual physique is unique, thereby warranting personalized treatment plans based on factors such as dietary habits, physical activity, metabolic rate, and body composition. It is imperative to comprehend that the treatment's efficiency is greatly enhanced when a company has a sustained commitment to a nutritious diet and a dedicated exercise regimen.

No party can guarantee the effectiveness of this treatment. I have. Thoroughly reviewed and comprehended the information outlined in this informed consent document. I have been given ample time to consider the details and am adequately informed to consent to this procedure. I, at this moment, grant my consent to undergo this procedure. If I encounter any form of pain or discomfort during the procedures, I agree to promptly notify the staff and discontinue the session at my discretion. The undersigned individual assumes full responsibility for their conduct and that of their clients and agrees to adhere to all Rules and Procedures established by the establishment.

I acknowledge that Bodyzon places utmost importance on safeguarding the privacy rights of its clients. We are committed to not disclosing personally identifiable information to any third party without your consent. Additionally, we do not engage in the sale, rental, or unauthorized external use of personal data, including but not limited to names, addresses, phone numbers, or email addresses stored in our database, without your explicit permission. If this document is digitally scanned, copies of this form and signature shall be deemed as valid as the original.

I now confirm that I am of legal age and in good health. I acknowledge and fully understand the potential risks and benefits of the services provided. I know any injuries incurred may be unrelated to the technician, instruction, or equipment, and I accept responsibility for my actions. I agree to release and hold Bodyzon and its representative therapist harmless from any claims or allegations of negligence.

CLIENT CONSULTATION FORM

Birthday
Month
Day
Year
How did you hear about us?
Have you ever had any weight lost treatments previously?
Do you currently adhere to any specific dietary regimen?
Do you drink water daily?
Do you eat breakfast?
How often do you consume alcohol?

To perform the treatment in a safe manner, please answer the following questions truthfully. We will use it only for purposes of determining whether you would be an ideal candidate for this procedure.

Do you have a diagnosis of type 1 or type 2 diabetes?
Do you have any documented liver disorders or any history of liver disease?
Is there any record or history of kidney disease or any documented kidney disorders?
Is there any indication or evidence of sensitivity to sunlight or any symptoms related to photosensitivity?
Do you have a current or history of cancer?
Do you have a diagnosed thyroid disorder or related medical conditions affecting the thyroid gland?
Do you have high blood pressure?
Do you have any diagnosed cardiovascular conditions or any medical conditions that affect the cardiovascular system?
Do you currently posses any implanted devices, such as hearing aids, pacemakers, or hormonal pellets?
Are you currently nursing?

Once you have completed this form, please upload it to the "Client Consultation Form" section. It is vital to fill out this form before proceeding with the client consultation to ensure a productive and focused discussion.

Download Body Areas Form

Thank you for choosing our services. This form is essential for understanding your needs and expectations regarding body and facial contouring. Completing this form thoroughly ensures we can provide you with the best possible care and results.

Importance of Body/Facial Contouring:

Body and facial contouring are transformative procedures that can enhance natural beauty, boost confidence, and improve overall appearance. We believe in a personalized approach, and understanding your goals is crucial for achieving optimal results. Please take a moment to reflect on what you wish to achieve through this process.

Once you have completed this form, please upload it to the "Client Consultation Form" section. It is vital to fill out this form before proceeding with the client consultation to ensure a productive and focused discussion.

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