
LatheredNBeauty
Client consultation,
consent & liability waiver.
Please review all four sections. The complete interactive waiver, required acknowledgments, permissions, and electronic signatures are completed securely during client booking.
This section collects appointment and client information, referral and promotional preferences, prior treatment experience, treatment goals, lifestyle information, body analysis, requested treatment areas, medications, supplements, and relevant health disclosures.
Medical and safety screening
- Do you have Type 1 or Type 2 diabetes?
- Do you have a known liver disorder?
- Do you have known kidney disease?
- Do you experience photosensitivity or unusual sensitivity to sun exposure?
- Do you currently have cancer or receive treatment for cancer?
- Do you have thyroid problems?
- Do you have high blood pressure or hypertension?
- Do you have a cardiovascular or heart condition?
- Are you currently pregnant or breastfeeding/nursing?
- Do you have an implanted medical device or implant, including a pacemaker, metal implant, hormonal pellet, or similar device?
- Do you currently have skin inflammation, irritation, infection, or open wounds in the proposed treatment area?
- Do you have poor blood circulation, vascular conditions, or varicose veins?
- Do you have hyperlipidemia or another condition affecting blood lipids?
- Are you currently using tanning products or medications/supplements that may thin the blood?
- Do you have any known allergies or sensitivities that may affect treatment?
Treatment contraindications
- Heart disease or cardiovascular conditions
- Hypertension
- Diabetes
- Poor blood circulation
- Hyperlipidemia
- Pregnancy or breastfeeding
- Pacemakers, metal implants, or certain implanted medical devices
- Skin inflammation, infection, or wounds within the treatment area
- Certain abdominal treatments during menstruation
- Vascular conditions or significant varicose veins
- Active cancer or certain cancer treatments
The presence of a condition does not necessarily prohibit every service. A technician may decline, postpone, or modify treatment and may request medical clearance when appropriate.
Health information acknowledgment: Clients certify that the health, medical history, medication, and related information they provide is complete and accurate and agree to report relevant changes before future treatments.