Vacuum Technology Consent Form

Vacuum Technology is used to assist in lymphatic drainage, increase circulation, reduce toxin and water retention, encourage the breakdown and elimination of superficial fat deposits, and to  encourage collagen production to improve skin.  Vacuum technology to move the lipids released from the fat cells out of the body, is useful following the application of cavitation technology.

Vacuum Technology combines negative pressure with a mechanical ‘cupping’ mechanism (1) to provide an overall slimming effect and (2) to increase collagen production for firming and smoothing.    

Vacuum Technology is safe for most people, but certain contraindications do exist:  Pregnancy or lactating,  thrombosis &/or thrombophlebitis in the treated area and/or open wounds in the treated area.  PLEASE LET US KNOW IF ANY OF THESE CONDITIONS EXIST. 

Vacuum Technology can result in soreness/tenderness, bruising/ecchymosis, and other discoloration that can last for a few hours to several days.

Improvement 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.

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 consent to these photographs to track my progress if applicable.

I have read and understand the foregoing statements about treatments with Vacuum Technology.  I’ve had the opportunity to ask questions and understand there are alternatives to this treatment and elect to undergo this treatment.