The Treatment: I have or will intend to get the treatment called “HIFU Session” (the “Treatment”) offered by Cosmetigroup Int’l Corporation and its affiliates (the “Company”).
Warranty of Physical Fitness: In getting this Treatment, I warrant that I am physically fit, with no medical conditions which can affect the Treatment. I likewise understand that the Treatment may be harmful to the following:
- Pregnant women
- Malignant person
- Who have monthly period/menstruation
- Fresh wound from operation
- Persons with acute inflammation or epidemical patients
- Persons with kidney / gallstone
- Persons who had belly operation
- Person with genetic hypersensitivity
- Persons with high blood / heart disease
- Persons with skin infection
- Persons with skin lesions at the target area
- Persons with severe acne
- Persons with silica gel in the skin
- Persons with metallic implant in the target area
- Persons with botox/fillers on the target area (must wait for six months before undergoing Treatment)
- Day before treatment
- Other analogous contraindications
Warranty of Disclosure: I warrant that I have been asked to disclose all my Maintenance medications, and that I have disclosed them. Despite these, I warrant that I willingly and voluntarily chose to obtain the Treatment. I am mindful of the potential side effects of the Treatment, , both short term and permanent, but that I willingly chose to proceed.
Indemnity: As a result of the foregoing, I hereby release the Company, its affiliates, subsidiaries, employees, directors, officers, agents, and representatives, from any and all claims arising from this Treatment. I waive any and all claims I may have now or in the future against the Company, its affiliates, subsidiaries, employees, directors, officers, agents, and representatives.
Confidentiality: Further, I undertake and agree to keep any and all documents and information obtained from or pertaining to the Company and other related parties, whether obtained in the course of professional or personal relations”), strictly private and confidential.
Full Knowledge: I declare that, with full knowledge of my rights under the law, this document and the hereby given have been read by me and that I have fully understood the contents and import of this Waiver and that I have willingly and voluntarily executed the same.