Waver - All Skin Studio

Please fill out the following form.

Name

Last name

Date of birth

Día

Mes

Año

I have voluntarily chosen to receive this treatment after the nature, purpose, and expected outcomes have been fully explained to me.

I confirm that I do not have any of the following conditions, which would prevent me from receiving this treatment at this time: • Cardiac issues • Cancer • Infected, inflamed, or swollen skin • Metallic implants (Pacemaker) • Pregnancy or lactation

I acknowledge that results are not guaranteed.

I understand that there are potential risks associated with this treatment, including but not limited to: • Redness • Swelling • Irritation • Skin reactions • Increased heart rate

I confirm that I have been informed about the possible benefits, risks, and complications of the treatment and have had the opportunity to ask questions.

To the best of my knowledge, I have provided an accurate account of my medical history, allergies, previous treatments, skin sensitivities, or any prescription or topical products I am currently using.

I acknowledge that if I have experienced any prior treatments, skin sensitivities, or allergic reactions, I must notify the technician before proceeding.

I have read and fully understand this agreement and all the information provided above. I accept full responsibility for any risks, including injury, side effects, or complications that may arise from this procedure.

Date

Signature

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