I have voluntarily elected to undergo this treatment/procedure after the nature and purpose of this treatment has been explained to me, along with the risks and hazards involved, by esthetician.

Although it is impossible to list every potential risk and complication, I have been informed of possible benefits, risks, and complications. I also recognize there are no guaranteed results and that independent results are dependent upon age, skin condition, and lifestyle and that there is the possibility I may require further treatments of the treated areas to obtain the expected results at an additional cost.

I have read and understand the post-treatment home care instructions. I understand how important it is to follow all instructions given to me for post-treatment care. In the event that I may have additional questions or concerns regarding my treatment or suggested home product/post-treatment care, I will consult the esthetician immediately.

I have also, to the best of my knowledge, given an accurate account of my medical history, including all known allergies or prescription drugs or products I am currently ingesting or using topically.

I have read and fully understand this agreement and all information detailed above. I understand the procedure and accept the risks. All of my questions have been answered to my satisfaction and I consent to the terms of this agreement. I do not hold the esthetician, whose signature appears below, responsible for any of my conditions that were present, but not disclosed at the time of this skin care procedure, which may be affected by the treatment performed today.

I duly authorize the technicians to perform the procedure for spot fat reduction and skin tightening. I am aware that clinical results may vary depending on individual factors, including medical history, compliance with pre- and post-treatment instructions, and individual responses to treatment.

I have been informed that my diet and exercise routine will significantly affect my treatment results. If I make no effort to address my diet or exercise habits, I understand that the results will not be maintained.

I understand that I require at least 8 sessions to achieve the desired outcome. The fee structure has been fully explained to me, and I acknowledge that I must pay for the course of treatments before any procedures are performed.

Due to high demand, all 8 appointments will be scheduled following the initial consultation. I am aware of the 24-hour cancellation policy; failing to provide 24 hours' notice may result in losing that appointment.

I agree not to take any legal action against Christine's Beauty Bar. I understand that some health conditions (if any) may pose contraindications for these procedures and could require a doctor's note. Should that be the case, my next appointment will be scheduled as soon as possible. To the best of my knowledge, I confirm that the answers I have given are correct and that I have not withheld any information which may be relevant to my treatment.

I certify that I have been fully informed of the nature and purpose of the procedure, the expected outcomes, and the possible complications. I understand that there is no guarantee regarding the final results obtained. I acknowledge that my condition is primarily cosmetic, and my decision to proceed is based on my personal desire to do so.

I accept that it is my responsibility to inform the technicians of any changes in my medical history during the course of these treatment sessions. Should any such changes occur, I will notify the clinician promptly.

I understand that minor swelling in the treated area may occur within the first 14 days after the procedure. I have also been informed, and I acknowledge, that there is a possibility of hyperpigmentation or hypopigmentation of the skin. I am aware that, if this occurs, it depends entirely on individual reactions and the body's unique responses; however, these marks should only be temporary.

I consent to having photographs taken and authorize their anonymous use for medical audit, education, marketing, and promotional purposes. I confirm that I have had the opportunity to ask questions, that all my questions have been answered to my satisfaction, and that I have read and fully understand the contents of this consent form.