Informed consent for non-surgical body contouring treatments including cryolipolysis, radiofrequency, HIFU, electromagnetic muscle stimulation, and injectable deoxycholic acid.
The Body Contouring Treatment Consent is a ready-to-use healthcare & wellness template you can send for signature in minutes. It is written for 1 signer (patient) and, by default, expires 30 days after it is sent if left unsigned. It covers consent, body contouring, aesthetics. Like every Abundera Sign template it is a convenience draft structured for ESIGN Act and UETA compliance, not a substitute for legal advice. Each signed copy is sealed with PAdES-LTA digital signatures, dual RFC 3161 timestamps, and a tamper-evident evidence package in WORM storage.
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# Body Contouring Treatment Consent **Practice / Clinic:** ___________ **Provider:** ___________ **Date of Service:** ___________ --- ## Patient Information Patient Name: ___________ Date of Birth: ___________ Height: ___________ Weight (lbs / kg): ___________ --- ## Nature of the Procedure Non-surgical body contouring encompasses a range of technologies designed to reduce localized fat deposits, improve body shape, or stimulate muscle tone without surgical incisions. These treatments are body sculpting adjuncts — not weight-loss treatments — intended for patients who are near or at their ideal body weight with targeted areas of resistant fat. **Treatment type:** ___________ **Device / product to be used:** ___________ **Treatment area(s):** ___________ **Number of applicators / injection sites / sessions planned:** ___________ ---