CONSULTATION FORM - BodyFlow Sculpt

Treatment Description

I understand that the Body Sculpting Treatment involves the use of a vacuum suction and roller massage device designed to:

• Improve the appearance of cellulite

• Stimulate lymphatic drainage

• Improve circulation

• Assist in body contouring and skin tightening

• Enhance the appearance of treated areas

The procedure is non-invasive and does not guarantee specific results.

Potential Benefits

The possible benefits of treatment may include:

• Reduced appearance of cellulite

• Temporary reduction in body measurements

• Improved skin texture and tone

• Improved circulation

• Enhanced lymphatic drainage

Results vary between individuals.

Possible Side Effects and Risks

I understand that side effects may include:

• Temporary redness

• Mild swelling

• Bruising

• Tenderness or soreness

• Increased sensitivity in treated areas

• Temporary skin irritation

• Mild discomfort during treatment

Although rare, more significant bruising or skin irritation may occur.

Medical History

Client Acknowledgements

I acknowledge that:

1. The treatment and expected outcomes have been explained to me.

2. No guarantee of results has been made.

3. Multiple sessions may be required.

4. Individual results vary.

5. I have disclosed all relevant medical information.

6. I will inform the practitioner of any changes to my health.

7. I understand the potential risks and side effects.

8. I consent to photographs being taken for treatment records if applicable.

Aftercare Advice

I agree to:

• Drink adequate water after treatment.

• Follow any aftercare instructions provided.

• Report any unexpected reactions promptly.

• Maintain a healthy lifestyle to support results.

Liability Waiver

I have had the opportunity to ask questions and all of my questions have been answered satisfactorily. I voluntarily consent to receive body sculpting treatment and understand the associated risks and potential side effects.

I release the practitioner and business from liability for expected treatment reactions when treatment has been performed appropriately and according to professional standards.

To be filled in by practitioner