Client Safety Notice

At Glowing x D LLC, our goal is to enhance your natural beauty through advanced body contouring. These non-invasive aesthetic services are not medical treatments.

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By scheduling an appointment, you acknowledge the following:

• Medical Consultation: We recommend consulting with your physician prior to treatment if you have pre-existing health concerns.

• Cosmetic Nature: Our sessions are designed for aesthetic improvement only and do not replace professional medical diagnosis or care.

• Individual Outcomes: Results depend on unique biological factors, including hydration, lifestyle habits, and metabolic rate.

• Health Screening: Certain contraindications, such as pregnancy or specific medical implants, may restrict treatment eligibility.

• Client Responsibility: For your safety, you must provide full disclosure regarding your medical history and follow all provided care protocols.

• No Outcome Guarantees: While we strive for excellence, individual results vary and specific physical changes are not guaranteed.

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By booking with Glowing x D LLC, you confirm that you have read, understood, and voluntarily accepted these terms.

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Consent Forms:

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ULTRASONIC CAVITATION AND RF TREATMENT CONSENT FORM

What is ultrasonic cavitation?

The ultrasonic cavitation procedure is a non-invasive body contouring treatment which uses low-frequency ultrasound waves to flush fat from the body. The procedure is suitable for the reduction of cellulite and stubborn fat. It is not a weight-loss solution.

 

How ultrasonic cavitation works?

A hand-piece is then used to target specific body areas with low-frequency sound waves. The minute vibrations produce tiny bubbles within the fat cells, disturbing the outer membrane, which causes tiny collections of fat to be expelled into the surrounding area. These fatty acids are then processed and eliminated by the body’s lymphatic system.

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What is radio frequency skin tightening?

Radio frequency skin tightening is an aesthetic technique that uses radio frequency (RF) energy to heat skin with the purpose of stimulating the production of collagen and elastin, thereby tightening the skin.

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How radio frequency skin tightening works?

Radio frequency skin tightening works by targeting the tissue beneath the outer layer of the skin, or epidermis, with radio frequency energy. This energy generates heat resulting in new collagen production.

 

How many treatments?

6-12 treatments spaced at least 3 days apart are recommended for optimal results.

 

Before and aftercare > Drink plenty of water (at least 2 liters) before and after the treatment. Drinking water is a necessary part of the treatment to facilitate the elimination of broken down fat. > Do not drink alcohol on the day of the treatment and within the first 48 hours after. > Do some light exercise to elevate your heart rate such as a brisk walk for at least 20 minutes after the treatment to stimulate lymph movement.

 

Do you have any of the following? > Pregnant or breastfeeding > Heart problems or diseases > High blood pressure > Cancer > Kidney damage, diseases or problems > Liver damage, diseases or problems > Acute inflammatory processes > Hemorrhagic disease, trauma or bleeding > Medical plastic parts or parts with metal inside > Abnormal immune system > Numb or insensitive to heat > Menstrual period > Skin conditions such as eczema, dermatitis, or rashes > Active implanted device such as pacemaker or defibrillator

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Pictures may be obtained for clinical records. If pictures are used for education or marketing purposes, all identifying marks will be cropped or removed. Initial: _____

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The benefits and potential side effects associated with the ultrasonic cavitation and/or radio frequency procedure have been explained to me in detail. I have read the information above and give my consent to be treated with ultrasonic cavitation and/or radio frequency.

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Print Name

Signature

Date

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Also:

EMS Form

Wood Therapy Form

Before & After Care Form

Measurement Chart Form

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