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The following information will be used to help plan safe and effective sessions. Please answer the questions to the best of your knowledge.
In order to plan a session that is safe and effective, we need some general information about your medical history.
14. Please check any condition listed below that applies to you:
I attest I am 18 years or older and understand that the services I receive are provided for the basic purpose of body contouring and that individual results may vary. If I experience any pain or discomfort during this session, I will immediately inform the body sculpting practitioner. I further understand that body contouring should not be construed as a substitute for medical examination, diagnosis, or treatment and that I should see a physician or other qualified medical specialist for any mental or physical ailment that I may have. I understand that body sculpting practitioner are not qualified to, diagnose, prescribe, or treat any physical or mental illness, and that nothing said in the course of this session should be construed as such. Because body contouring should not be performed under certain medical conditions, I affirm that I have stated all my known medical conditions, and answered all questions honestly. I agree to keep the body sculpting practitioner updated as to any changes in my medical profile and understand that there shall be no liability on the part of the body sculpting practitioner or Forever Pretti Body Inc. should I fail to do so. I agree to hold harmless Forever Pretti Body Inc., its employees and representatives.
Fees & Cancellations: I understand that there are NO REFUNDS for services or products. Payment is
required in full prior to initial treatment. Costs do not include future visits unless expressed otherwise. Packages must be paid in full prior to initial treatment and are non-refundable.
If you need to cancel for any reason, a 24 hour notice is required or a $50 fee will incur that will be collected prior to treatment
Picture & video usage: Before, during, & after pictures & videos may be taken to document
treatments. These pictures or videos become Forever Pretti Body Inc. sole property and may only be used for promotional and/or educational purposes.
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