Fat Freezing (Cryolipolysis) Consent Form
A fat freezing consent template — records that the client understands the gradual results, the side effects and that it isn’t weight loss.
Description
Form fields
Everything the Fat Freezing (Cryolipolysis) Consent Form above collects — 11 fields, so you can see exactly what it captures before you make it your own.
Fat Freezing (Cryolipolysis) Consent
Your name
Name
Email address

Date of birth
Area(s) to be treated
Short Answer
Please note any medical conditions or medications
Long Answer
Not weight loss
Consent
Gradual results
Consent
Possible effects
Consent
Suitability
Consent
Aftercare
Consent
Signature
Signature
No credit card
Unlimited forms
Unlimited results
Template FAQs
Common questions about the Fat Freezing (Cryolipolysis) Consent Form — what it captures, when to use it, and how to make it your own.
Is fat freezing a weight-loss treatment?
No — it targets stubborn pockets of fat in specific areas and isn’t a weight-loss method. The consent makes this clear up front, because it’s the most common misunderstanding and the biggest cause of disappointment.
How long do results take?
Results build gradually as the body clears the treated fat cells, typically over 8–12 weeks and often across a course. The consent sets that expectation so clients aren’t expecting instant change.
What side effects are normal?
Temporary numbness, redness, firmness, tingling or bruising in the treated area — all of which settle. The consent lists them so clients aren’t alarmed when they occur.
Who isn't suitable for fat freezing?
People with certain cold-related conditions, pregnancy, some medical histories and others flagged on the medical form. The consent confirms the client has disclosed their history and has none of the ruling-out conditions.
Why is a signature needed?
Because it records that the client understood the gradual results, the side effects and that it isn’t weight loss, and agreed to proceed — protecting both them and the clinic.
Is the form free?
Yes. It’s free with a Fun Forms account, fully brandable, and ready for clients to sign on a tablet before treatment.
No credit card
Unlimited forms
Unlimited results







