I can confirm that the above information has been completed to the best of my knowledge.
I accept that Energyze Beauty and Wellness Clinic are not liable for any issues arising as a result of non-disclosure.
Disclosure of previous and current medical history is in the interest of the client to ensure safety and positive results. I am aware that reactions may still occur, and the need to follow aftercare is essential for safe results to treatment.
i CONFIRM THAT I AM HAPPY FOR ENERGYZE BEAUTY TO CONTACT MY GP TO GAIN CONSENT FOR TREATMENT IF I HAVE TICKED ANY OF THE ABOVE BOXES.