Ultrasound Fat Cavitation Consent Form

Ultrasound Fat Cavitation delivers highly focused sound waves to damage fat cells.  The energy from the sound waves creates swift pressure changes within the body’s tissues that causes fat cells to break down, rupture, and release the lipid contents into the surrounding tissues.  The body then picks up, metabolizes and eliminates the lipids.  Vacuum technology and Vibration Therapy are technologies that are often used following cavitation to assist in the body’s lymphatic system to eliminate the lipids from the body.  Lymphatic massage can also assist the body in eliminating the lipids and other debris.

Cavitation technology is safe for most people but certain contraindications do exist. PLEASE ADVISE US if you are pregnant or lactating, have an implanted device such as a pacemaker, defibrillator, insulin pump or any other implanted device, or have been diagnosed with a seizure disorder.

Cavitation technology is non-invasive; however, you may experience tinnitus (ringing in the ears) during treatment caused by the sound waves as they move through your body, redness, and bruising.    

Improvement from cavitation is gradual and cumulative.  Before/After photos at your first and last treatments of your series of treatments can be beneficial to tracking treatment progress and may be used.

I consent to these photographs to track my progress if applicable.

Pro Tip:  We recommend the use of one ‘General Consent’ for each patient that, among other things, includes the general consent and release for photos to track progress, and in particular, photos to also use on your website and in your marketing.  These photos sell your services.

● If you use a General Consent that includes the consent for photos, you may omit the two sentences referencing photos above.

I have read and understand the foregoing statements about treatment with Ultrasound Fat Cavitation technology.  I’ve had the opportunity to ask questions and understand there are alternatives to this treatment and elect to undergo this treatment.