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BODY CONTOURING / FAT REDUCTION CONSENT FORM

TREATMENT OVERVIEW

T-Shape is a revolutionary, non-invasive treatment system that combines three advanced technologies—Radio Frequency, Low-Level Laser Therapy (LLLT), and Vacuum Therapy—to deliver visible results in body contouring, cellulite reduction, and facial skin rejuvenation.

Technologies Used:

  • Radio Frequency – Stimulates collagen, tightens loose skin, reduces wrinkles.
  • Laser (LLLT) – Breaks down fat cells and enhances skin rejuvenation.
  • Vacuum Therapy – Boosts circulation and lymphatic drainage, improving skin tone and texture.

Benefits:

  • Body Contouring & Circumference Reduction
  • Fat Cell Reduction
  • Skin Tightening & Elasticity Improvement
  • Cellulite Reduction
  • Post-Liposuction Skin Smoothing
  • Facial Skin Firming & Lifting

Treatment Areas:

  • Face & Neck
  • Arms
  • Abdomen
  • Thighs (Front, Back, Inner)
  • Buttocks
  • Back
  • Hips / Love Handles
  • Calves
  • Knees

What to Expect: The T-Shape session is painless and described as a warm massage. Each session lasts approximately 30–60 minutes depending on the area treated. Most clients see results after just 1–2 sessions, with optimal results after 6–8 sessions.

MEDICAL HISTORY

Please tick any that apply to you:

  • Heart conditions or pacemaker
  • Metal implants or surgical mesh
  • Epilepsy or seizures
  • Diabetes or thyroid problems
  • Pregnancy or breastfeeding
  • Liver or kidney disease
  • Active cancer or history of cancer
  • Cold sensitivity or cryoglobulinemia
  • Blood clotting disorders or anticoagulants
  • Hernia in or near the treatment area
  • Skin infection or rash in treatment area
  • None of the above

Please list any medications or health conditions not mentioned above:

RISKS & SIDE EFFECTS

Please check each to confirm your understanding:

  • I understand this treatment is non-invasive and not a substitute for diet or exercise.
  • I may experience redness, swelling, bruising, or temporary tenderness.
  • I may experience mild numbness, tingling, or delayed onset muscle soreness.
  • I understand results are gradual and may take multiple sessions over several weeks.
  • I will follow lifestyle guidelines (hydration, diet, movement) for optimal results.
  • I will report any abnormal symptoms immediately to the practitioner.

AFTERCARE ADVICE

I agree to follow the aftercare instructions below:

  • Drink at least 2 litres of water daily for 3–5 days post-treatment.
  • Avoid alcohol, caffeine, and heavy meals for 24–48 hours.
  • Avoid hot showers, saunas, or heat exposure for 24 hours.
  • Engage in light physical activity to stimulate lymphatic drainage.
  • Do not apply lotions or oils on treated areas for 24 hours unless advised.
  • Contact the clinic if excessive swelling, bruising, or pain occurs.

PHOTO/VIDEO CONSENT (OPTIONAL)

  • I consent to before and after photos for treatment documentation only.
  • I consent to use of my photos for marketing or social media.
  • I do not consent to any photography.

CLIENT DECLARATION & CONSENT

Please read and tick each box to confirm your agreement:

  • I confirm that the information provided is true and complete.
  • I understand the nature of the treatment and the potential risks and outcomes.
  • I have had the opportunity to ask questions and all have been answered.
  • I understand that results vary and multiple sessions may be required.
  • I voluntarily consent to receive this treatment at QT Beauty & Aesthetics.

Services

Company

Get in touch

  • 019-9253-8866
  • info@qtbeautyandaesthetic.co.uk
  • 31 Fore St, Hertford Hertfordshire SG14 1DJ