11550 Jonesbridge Rd, Suite# 6, Alpharetta GA 30022
Email: email@example.com Tel: (678) 829-7722
Emslim Consent Form
- You are scheduled for a series of non-invasive treatments with the Emslim. The device is indicated for improvement
of abdominal tone, strengthening of the abdominal muscles, and development of firmer abdomen. Strengthening, toning and firming of buttock.
- Your treatment provider will discuss your specific treatment needs. Recommended number of treatments is 4. The treatment
is typically 30 minutes per session, with sessions separated by at least two days. Completing a full treatment series is necessary to maximize treatment
efficacy. You may need additional treatments depending on your goals.
- Before the treatment, you are not required to do anything special, however, keeping your body well hydrated is
recommended. On the day of treatment, you are advised to wear comfortable clothing which allows flexibility for correct positioning during the treatment.
You will be asked to remove all metallic accessories and electronics devices.
- Knowledge that a successful treatment outcome can be affected by smoking or excessive alcohol consumption, as well as:
eating disorders or on-going medication. While no special diet is required, you are encouraged to eat healthy to help promote and maintain results.
- The treatment does not require anesthesia. During the application, you will feel intense muscle contractions in the
treated area. The procedure doesn’t require any recovery time. Typically, you can get back to your daily routine right after the treatment.
- I acknowledge that the treatment should preferably be applied directly over the skin. If not, I am aware not to wear
any metallic accessories (such as jewelry, watch or clothes containing metallic threads) during the treatment. I also acknowledge that I do not have
metallic or electronic implants (such as pacemakers, defibrillators, metallic IUDs, etc.)
Please answer whether you currently have or had any of the following: