Body Contouring Medical History Form

Body contouring treatments use cold, ultrasound, heat and radio frequency, and several health conditions genuinely rule them out — so a thorough medical history isn’t optional. This form screens for them: pregnancy, heart conditions and pacemakers, liver or kidney conditions, diabetes, a hernia at the site, recent surgery, clotting disorders, metal implants and a cancer history. Alongside the medical screen sits the single most important expectation-setting question in this whole niche: a clear confirmation that the client understands these treatments shape and tone rather than cause weight loss or replace a healthy lifestyle. Getting that agreed up front, in writing, is what prevents disappointed clients who expected the scales to drop. A free-text field captures medications and detail so your practitioner can judge suitability properly. Have every client complete it before treatment. It’s free, brand-styled, and turns a safety-and-expectations screen into a clear, dated record on the client’s file.