Bio Slimming Screening Questionnaire

Do you understand that to get the most out of the wrap, you must wait a minimum of 2 hours before showering after the treatment? Also, in cases of people with sensitive skin, we recommend that you shower within 2 to 4 hours following a Bioslimming application or Bioslimming wrap. *

Yes No

Do you understand that photos of the treated area will be taken along with measurements before and after each wrap? Oasis Skin & Wellness Center INC will use these items to track progress. Do you consent for the photos to be shared ONLY with myself and Oasis Skin & Wellness Center Staff INC on the private company network? And do you also understand the images will NOT be used in marketing materials without your expressed written permission? *

Yes No

By typing my name below, I confirm that the information recorded above is complete and accurate to the best of my knowledge. I understand that Skincare & Body Work therapy is not a replacement for prescribed medical treatment and that the practitioner may only perform treatments within his or her scope of practice and level of comfort. Anything said during this session shall not be regarded as medical advice, medical treatment, medical diagnosis, or medical prescription. I understand that the practitioner may refuse service at any time for any reason and that certain medical issues may contraindicate some services and will be referred to a medical professional. I understand that I am responsible for informing the practitioner of any changes to my medical profile, skincare routine, or wellness rituals. The practitioner or Oasis Skin & Wellness Center INC will not be held liable for anything resulting from my failure to do so. I have disclosed all serious medical conditions and drug use. I realize I am encouraged to communicate all treatments with my primary MD. I agree that I have been given sufficient opportunity to ask questions and make specific requests in order to make my treatment time as comfortable as possible. I have also read and will abide by all policies and client expectations that are listed separately from this document.