Medical Consent for Unicorn Medical Weight Loss & Medi Spa
Introduction
Welcome to Unicorn Medical Weight Loss & Medi Spa. Prior to receiving any medical services, it is essential that you read, understand, and consent to the following terms. This consent form is designed to provide you with the information needed to make an informed decision about your treatment and to document your agreement to proceed with the recommended medical procedures.
Consent to Treatment
I hereby authorize the medical professionals at Unicorn Medical Weight Loss & Medi Spa to perform or supervise the medical and/or aesthetic procedures that have been thoroughly explained to me. I understand these procedures are intended to enhance my health and/or appearance and may include, but are not limited to, Medical Weight Loss, Semaglutide Treatments, Non-Surgical Medical Weight Loss, B1/B6, B12, & Lipotropic Injections, Infrared Body Contouring Wrap, HCG Weight Loss Programs, and other medically supervised services.
Understanding of Procedures
I acknowledge that the nature and purpose of the treatments, along with their benefits, risks, and alternatives, have been explained to me in a manner I understand. I have had the opportunity to ask questions, and all my questions have been answered to my satisfaction.
No Guarantees
I understand that the practice of medicine and aesthetics is not an exact science and that, therefore, reputable practitioners cannot guarantee results. I acknowledge that no guarantee or assurance has been made to me regarding the outcome of any procedure.
Risks and Complications
I am aware that there are risks and complications associated with the medical and aesthetic procedures I may undergo, including but not limited to infection, scarring, allergic reactions, and unintended outcomes. I understand that I should promptly report any complications or concerns to my healthcare provider at Unicorn Medical Weight Loss & Medi Spa.
Use of Photographs
I consent to the taking of photographs and/or videos before, during, and after my treatment, understanding that these will be used for medical, educational, or promotional purposes, ensuring my identity is protected unless I provide explicit consent otherwise.
Financial Responsibility
I agree to be financially responsible for all charges associated with the services provided. I understand that some services may not be covered by insurance and that it is my responsibility to verify my benefits and coverage.
Revocation of Consent
I understand that I have the right to revoke this consent at any time before or during treatment, except to the extent that action has already been taken in reliance on it.