KBB Consent Form | KontourBodyBoutique

Kontour Body Boutique Consent Form

What is your First Name?

How about your Last Name?

Please provide your email...

Read the following statements. Check them if you agree to them and then hit the submit button. That's it.

If at any point during my service I am uncomfortable or uneasy with the procedures being administered and/or if I experience pain, I understand it is my responsibility to IMMEDIATELY inform the service provider, so that the procedures can be adjusted to a level of comfort or terminated.

I further understand that any service I receive is not a substitute for diagnosis and treatment by a medical doctor. What we discuss is not a replacement for their advice.

I understand that results may vary for each person.

I give my complete consent for KBB to perform the services that I have agreed to.

I understand it is my due diligence to provide accurate medical history and to be honest about my current health with my service provider.

I give permission to have my photos used for promational purposes to demostrate my progression and satisfication.

Thanks for submitting. See you at your appointment.