Renubodysculpting

The pre-paid booking fee is 100% non-refundable. You are able to reschedule your appointment one time if you contact me at least 24 hours before your appointment time and the booking fee will be transferred to your new appointment. If you do not give me at least 24 hour notice, or attempt to reschedule more than one time, a new booking fee will be required before your appointment will be accepted. If you do not contact me at least 24 hours before your scheduled appointment time, no-call no-show your appointment, or are running late by 20 minutes or more you will be required to pay another booking fee to reschedule your appointment. If you attempt to come to your scheduled appointment 20 minutes or more later than your appointment time, your appointment will be cancelled and you will be required to reschedule. Any appointments that are cancelled without a 24 hour notice, or if you are a no-call no-show you will not be eligible for any kind of refund or transfer of the previously paid balance. If you do not agree to these terms, please do not continue with your appointment request. We ask that you please reschedule or cancel at least 1 day before the beginning of your appointment. ADDITIONAL NOTES: Any medical or cosmetic procedure carries risk, complications and varied results as to the effectiveness of a particular treatment. The purpose of this document is to make you aware of the nature of procedure and its risks in advanced so that you can decide whether
 to go forward with any procedures/treatments.

 PROCEDURES
 Initially you will consult with the consultant to determine if you are a candidate for Body Sculpting Cavitation or other inch loss procedures. During this time you will have the opportunity to ask questions or voice concerns you may have regarding this treatment. If it is determined you are a candidate for any procedure, there will be a few preliminary steps consisting of: initial paperwork, measurements, pre and post treatment photos and course of treatment. It is recommended that a client will need a minimum of 8 or more treatments for the therapy to achieve its desired effect. These treatments should be used in conjunction with a healthy diet and exercise. If you are not currently exercising you can consult a health care professional before beginning an exercise program to determine if your body is physically able.

 RISK/DISCOMFORT

Our treatments are non-invasive. During treatment there should be no discomfort. If for any reason during treatment that the client feels discomfort due to warmth or anything, treatment will be terminated. Client should report this discomfort to technician. If client chooses to continue through any discomfort, it is at the client's own
risk and provider assumes no responsibility. Procedures are recommended for anyone over 18.

 BENEFITS

The potential benefit of this treatment is body contouring without surgery. Problem areas or excess pockets of fat can be targeted, however the most commonly treated areas are the stomach, hips, flanks, and thighs. In clinical trials patients have averaged 2-5cm lost from there stomach, hips, and thighs. These results do vary and no guarantee is implied or suggested that desired results will be achieved.

 QUESTIONS

By signing below/ checking the box, you certify that this procedure has been explained to you and your satisfaction. Any further questions can be directed to a your technician.
 
CONSENT I have reviewed this consent form. My consent and authorization for procedures are voluntary. By checking the informed consent form I grant authority for Dervena Lespinasse to perform the requested treatment. The purpose of this procedure, risks, complications, alternative methods of treatment have been fully explained to my satisfaction. 

Cosmetic indications for these procedures include but are not limited to cellulite, treatment of problem fat areas, skin tightening, and skin rejuvenation. You may experience redness to the area or light abdominal discomfort for up to 12 hours. 
You will be able to return to normal activities following the treatment. Any photos taken will be used to show the clients progress and may be used in marketing ads.