BODY CONTOURING

CONSENT & WAIVER

Purpose of Treatment

I understand that I am electing to receive body contouring treatments, which have been explained to me in detail. I acknowledge that these treatments are intended to help reduce localized fat deposits, tighten skin and improve body shape. I understand that results may vary and are not guaranteed.

Treatment Authorization

I consent to and authorize a licensed clinician at Beauty x Body Co to perform body contouring procedures using any of the following techniques:

  • Ultrasonic Cavitation

  • Radio Frequency (RF) Skin Tightening

  • Brazilian Lymphatic Drainage

  • Colombian Wood Sculpting

  • Vacuum Therapy

  • Negative Pressure

Fibrosis Treatment (if applicable)

If receiving treatment for post-surgical fibrosis, I understand that additional techniques such as manual fibrosis massage, fascia release tools, cupping, and targeted lymphatic work may be used to break down fibrotic tissue. Some discomfort or tenderness is expected in these areas as part of the therapeutic process. The goal is to promote smoother, more even results during the recovery process. I understand that this treatment is safe when performed by a trained professional but results may vary and are not guaranteed.

Possible Risks and Side Effects I acknowledge that I have been informed of the possible side effects of body contouring and fibrosis treatments, which may include but are not limited to:

  • Redness or swelling

  • Skin irritation or sensitivity

  • Temporary bruising or tenderness

  • Increased heart rate

  • Temporary soreness or discomfort in concerned areas

I understand that although side effects are rare, they may occur and are usually temporary.

Contraindications – I Confirm That I DO NOT Have Any of the Following:

  • Cardiac issues or pacemaker

  • Cancer (current or recent history)

  • Pregnant or breastfeeding

  • Epilepsy or seizure disorders

  • Infections, open wounds, or active skin conditions in the treatment area

  • Metal implants or surgical mesh in the treatment area

  • Blood disorders or use of blood thinners

  • Autoimmune disorders or chronic illnesses

Medical Disclosure I confirm that I have disclosed my complete medical history, including:

  • All prescription and non-prescription medications

  • Any known allergies or sensitivities

  • All relevant health conditions

Liability Waiver

I understand that I am responsible for the outcome of my treatment. I release Beauty x Body Co and its staff from liability for any condition(s) that may be affected by the treatment and were not disclosed at the time of service. I acknowledge that I have been given the opportunity to ask questions and that all my questions have been answered to my satisfaction.

Refund & Cancellation Policy

I understand that all services are non-refundable. A minimum of 24 hours notice is required to cancel or reschedule appointments. Missed appointments without proper notice may be subject to a cancellation fee.

ACKNOWLEDGEMENT & SIGNATURE

I confirm that I have read and fully understand this consent form. I have no further questions and agree to proceed with the treatment.

Clear