I authorise Lift and Shape to perform this procedure as part of my treatment.
 

I understand the complications and risks that might happen as a result of this procedure. However, I still like to proceed.
 

I release and hold harmless Lift and Shape against any claims, damages, costs, which may occur during or after the procedure.
 

I understand that I need to follow the pre-care and post-care instructions given to me. I understand that no refunds are given.
 

I understand the results vary from client to client and are not guaranteed.
 

By signing this consent, I confirm that I have read and understood all the information indicated in this document. I also assure you that I'm of legal age. I fully accept all responsibilities for these or any other complications that may occur during the procedure.