CONSENT AGREEMENTS Therapy Agreement Alternatively Indemnity Therapy Agreement Disclosure, Consent and indemnity on all treatments done by any Therapist working for SlimmingLabPlease read this agreement in its entirety, and consent at the bottom of the form. SlimmingLab does not guarantee to: Achieve a specific result in any person; Reduce cellulite permanently without maintenance therapy; Diagnose any disease or other condition; Cure, mitigate, treat or prevent disease; Affect the structure and functions of the body Give a cosmetic goal outcome. Any and all appointments may be canceled or rescheduled by either party, 24 hours prior to the appointment, on this contract basis. In the event of cancellations or rescheduling of appointments by the client within 24 hours, the patient may be held liable for a penalty fee. The patient consents to the said penalty and will settle the same. The client understands SlimmingLab’s responsivity towards other clients and waives his/her right to the full amount of time owing to his/her treatment in the instance or late arrival. SlimmingLab has a strict no-credit policy. All payments must be made in full for all package deals.Full Name *Email Address *Phone Number *Date of birthAddressID NumberConsent *I, as a client, have requested that you describe the procedure to be utilized so that I and make an informed decision whether or not to undergo the procedure. I voluntarily requested that a SlimmingLab therapist does as she may deem necessary to perform on my body following the procedure.I have informed my therapist that I am in good health and not under the care of a physician for any of the relevant conditions as listed previously.I understand that the description of the procedure I not intended to scare or alarm me. It is simply an effort to fully inform me so that I may withhold my consent for this procedure and full program.I understand that no warranty or guarantees have been made to me as to the final results.I have been told that there are risks and hazards related to the performance of the procedure planned for me.I have been told that this procedure will involve pain and discomfort.I have been given the opportunity to ask questions about the procedure to be used and the risks and hazards involved and I believe that I have sufficient information to give informed consent.I have been told the risks associated with my particular problem, but would still like the procedure to be done, in the event of any further problems I may experience and decide to sue, I undertake to pay all costs. I understand that if I have an infection, adverse reaction, or allergic reaction to the procedure, I must notify SlimmingLab as soon as possible.I confirm that this form has been fully explained to e and that I have read it or had it read to me and that I understand the contents. Send Message Alternatively Disclosure, Consent and indemnity on all treatments done by any Therapist working for SlimmingLabPlease read this agreement in its entirety, and consent at the bottom of the form. I am currently under the care of a physicianFull Name *Email Address *Phone Number *Date of birth *Address *ID Number *Physician DetailsMedical Physicians Name *Physicians Speciality *Medical Practitioner Address *Practise Tel number *I am being treated for the following: *Consent *I understand that the description of the procedure I not intended to scare or alarm me. It is simply an effort to fully inform me so that I may withhold my consent for this procedure and full program.I understand that no warranty or guarantees have been made to me as to the final results.I have been told that there are risks and hazards related to the performance of the procedure planned for me.I have been told that this procedure will involve pain and discomfort.I have been given the opportunity to ask questions about the procedure to be used and the risks and hazards involved and I believe that I have sufficient information to give informed consent.I have been told the risks associated with my particular problem, but would still like the procedure to be done, in the event of any further problems I may experience and decide to sue, I undertake to pay all costs. I understand that if I have an infection, adverse reaction, or allergic reaction to the procedure, I must notify SlimmingLab as soon as possible.I acknowledge that SlimmingLab will not be liable for my health and thereby the death, injury, loss, or damage suffered by me through or contributed to by any cause whatsoever including but not limited to, any negligent act and/or omission or breach of contract on the part of SlimmingLab, its directors, employees, managers, owners, independent consultants, manufacturer of the equipment or other members.I confirm that this form has been fully explained to e and that I have read it or had it read to me and that I understand the contents.I acknowledge that SlimmingLab will not be liable for my health and thereby the death, injury, loss, or damage suffered by me through or contributed to by any cause whatsoever including but not limited to, any negligent act and/or omission or breach of contract on the part of SlimmingLab, its directors, employees, managers, owners, independent consultants, manufacturer of the equipment or other members. Send Message Indemnity
