Body Sculpting Consent Consent & Intake Form

BODY SCULPTING CONSULTATION FORM
A body sculpting consent form is a legal document that is used in the cosmetic surgery industry, specifically for body sculpting procedures. It is a document that is given to patients prior to the surgery to inform them about the risks, benefits, and alternatives of the procedure.

As a body sculpting professional, you need a well-designed form to track your client's personal details, medical history, instructions, and consent approvals to avoid issues and protect you and your business from possible litigation. This form is just what you need for this. It also includes an index section to quickly locate every client's details. Check below to view the content of this form.

CONTENT OF THE BODY SCULPTING WAIVER AND CONSENT FORM

1. Client information section

• Name
• Address, city, state and ZIP
• Date of birth
• Email and phone number
• Two emergency contact names and phone numbers
• Email list added request
• Specials & discount.
• Referrer

2. Medical and cosmetic history

• Up to 5 medical and cosmetic history questions.
• Up to 12 medical conditions for patient to client to tick whichever that apply.

3. Goal, Habits & Instructions section

• What exactly would you like to get out of this procedure?
• Do you want to lose body fats? where?
• Do you want to reduce cellulite? where?
• Water drinking habit.
• Exercise habit.

4. Consent and signature

• Client consent section to protect you and your business.
• Client name, signature, and date.

5. Official section

• Who reviewed the form?
• Date and signature
• Comments
• Was the client accepted or not?
• Reason for rejection.
• Procedure cost and discount (If any).
• Manager name, date and signature

6. Business Information

• Name
• Email and Phone
• Address

AVAILABLE FORMATS

• PowerPoint (Editable)
• PDF
• LARGE 8.5 x 11 INCHES