top of page

TrueBeautybydee Body Sculpting & Aesthetic's Intake form

Birthday

Medical History

Do you have any chronic medical conditions that we should know about?
Are you currently taking any medications?
Do you have any allergies to oils, lotions, or ointments?*
Do you have type 1 or type 2 diabetes?
Do you have any known kidney or liver disorders?
Do you have photosensitivity to sun exposure?
Do you currently have cancer?
Have you had cancer in the past 12 months?
Do you have any thyroid problems?
Do you have high blood pressure?
Do you have any cardiovascular conditions?
Do you have any medical devices implanted including, but not limited to, hearing aids, a pacemaker, or hormonal pellets?
Do you want to lose body fat?
Do you want to tighten skin on your body?
(Female clients) Are you currently pregnant or nursing?

I understand and agree that TrueBeautyByDee Body Sculpting & Aesthetics is not liable for personal injury, illness, or any other condition or side effects (including an injury, illness, death, conditions, Infections, and side effects from filler. Once you book your appointment you are agreeing to the terms and conditions. If any of the terms or Agreement is disclosed with any individuals outside of TrueBeautybydee You can be sued for defamation.

 

I understand that I can't take any legal action against TrueBeautyByDee Body Sculpting & Aesthetics.

Please sign your Signature Below in the box  if you "Agree to the terms"

IMPORTANT NOTICE (PLEASE READ & FILL INTAKE FORM) * THIS IS REQUIRED

Welcome to TrueBeautybydee 

Please complete the Intake form. Once you have completed all the required steps, click "submit" and then proceed to click "Check-In".

Self Check-In

Please check in for your appointment by clicking the button below. Thank you!

Copy of TEMPLATE JUNE BOOKS NOW OPEN - I
bottom of page