Radio Frequency Skin Tightening Consent Form

A few things beforehand:

Arrive with clean skin, free of lotion or makeup on the area.
Hydrate well before your session.
Remove jewelry from the area. Let us know if you have a pacemaker or metal implants (RF may not be suitable).

After your session:

Mild redness or warmth for a few hours is normal.
Keep hydrated and wear SPF on treated facial skin.
Avoid excessive heat and direct sun for the rest of the day.
Results build gradually over a series as new collagen forms.

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Section A — Client Information

First Name *

Last Name *

Phone *

Email *

Date of Birth *

Today's Date *

City

State

Postal Code

Emergency Contact Name

Emergency Contact Phone

I agree to receive booking confirmations and appointment reminders at my email address above. *

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Section B — Photo Release

I consent to before/after photos being taken for use on social media and website.

Name preference for photos

Use my name No name Fictitious name

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Section C — Medical History

List any known allergies

List all current medications

Client preferences for next visit

Additional notes for next session

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Section E — Client Consent & Signature

Appointment reminders: I consent to receive appointment reminder messages via SMS. Reply STOP to opt out. Promotions: I consent to receive promotional and marketing messages from I Am Beautiful by Mia. Reply STOP to opt out.

By checking the SMS boxes above, you agree that I Am Beautiful by Mia may contact you at the number provided. This is not a condition of service.

Before Your Appointment

Aftercare

Section A — Client Information

Section B — Photo Release

Section C — Medical History

Section D — Radio Frequency Contraindications

Section E — Client Consent & Signature