FULL BODY AND FACIAL CONTOURING DEVICE CONSENT FORM

Full body 1) I understand that no Implants should be treated with this device. I have been candid with my therapist about any surgeries or implants that may have a bearing on these procedures. 

2) Prior to receiving this treatment, I have been candid in revealing any condition that may have a bearing on this procedure, such as: pregnancy, recent facial peels or surgery, allergies, tendencies to cold sores and fever blisters, Use of Retin-A, Glycolic Acids, Accutane, Hormonal Therapy Anticoagulants (Blood Thinners) and Aspirin.

3) I understand there are no guarantees to this procedure.

4) I understand that the Full Body and Facial Contouring Device is generally considered safe, there are some risks and side effects to be aware of. These can include: Bruising and swelling: The vacuum suction device used in the procedure can cause bruising and swelling in the treated area. This is usually temporary and should subside within a few days.

5) I understand that to achieve maximum results, I will need several ongoing treatments and will need to use daily products to heal and protect my skin.

6) I understand that the possibility of irritation and redness exists and that I should notify my skin care professional if irritation persists.

7) I will follow the home care program specifically designed for me without changing or adding any products without consulting with my skin care professional.

8) agree to all of the above to have this treatment performed on me and will follow all prescribed directions regarding post treatment care.