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Contact Us
301-909-8061
1803 Connecticut Ave. NW
2nd Floor
Washington DCn20009
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Home
Services
Skin Care
Hair Removal
Eyebrows & Eyelashes
Body Sculpting
Store
Skin Care Products
Garments
Tea
Deals & Steals
Deals and Steals
Memberships
Skincare membership options
Sculptician (R) Select membership options
Hair Removal membership options
Classes
Sculptician Training
Forms
Body Sculpting Intake
Release and Waiver
Hair Removal
Membership Agreement
Treatment Consent (Body Sculpting)
Skin Care, Eyebrow & Eyelash Intake
Gift card
My Account
Body Sculpting Intake
Body Sculpting Intake Form
Client Name
(Required)
Date of Birth
MM slash DD slash YYYY
Address
Phone
E-Mail
(Required)
Referred By
Occupation
Exercise Level
Emergency Contact
Relationship to You
Phone
Have you ever used an Infrared Sauna or Body Wrap
Yes
No
Total water intake within the last 24 hours
Reason for Visit: Motivation, expectations:
Pre-existing conditions & contra-indictions (Check all that apply)
Cardiac Conditions
Kidney Malfunctions
Lupus
Open Wounds
Adrenal Suppression
Skin Disease
Multiple Sclerosis
Sea Plant Allergies
Heavy Menstruation (at a time of service)
Artificial Joints
Acute Joint Injury 1st 48 Hours
Constricted Coronary Blood Vessels
Implanted Pacemaker
High & Low Blood Pressure
Pregnancy
Enclosed Infections (Dental, Joint)
Metal Pins or Rods
Overactive Thyroid Gland
Varicose Veins
Diabetes Requiring Insulin
Implanted Silicone
Contact Allergies
Hemophilia
Fever
Melanoma
Severe General Infection
Cancer
History of Internal Bleeding
Epilepsy
Neurological Disorders
Infectious or Communicable Diseases
History of Abdominal Operations
Other
Positive COVID-19 results
Please explain checked boxes here
Consult your doctor before receiving an infrared Body Wrap treatment. If you have received treatment for any of the above listed conditions in the highlighted area or suffer from any of the remaining conditions described above you cannot receive today's treatment. If you have a history of any other medical condition or you are taking prescription drugs, you should consult your physician before using the Infrared Body Wrap.
Signature
(Required)
Date
MM slash DD slash YYYY
Upload ID
Accepted file types: jpg, gif, png, pdf, Max. file size: 100 MB.
First time clients are required to have a copy of their ID on file. If you have previously uploaded your ID you do not have to.
Pre-appointment Instructions
(Required)
I agree to properly prepare for my appointment
Please read the below instructions for your upcoming appointment. Should you need to change your appointment please let us know 48 hours in advance to avoid cancellation fees. Please review the cancellation policy as it applies to all appointments.
Pre-care instructions for your service are the following:
Hydrate Properly 24 hours before: Drink half your body weight in ounces (Example : if you are 140 lbs drink 70 ounces)
Please shower before your service and make sure you have very little or no lotion or oil on your skin so our creams can have maximum penetration (Deodorant is fine)
No alcohol before or directly after your service.
Have a light meal 1 to 2 hours before your treatment.
If you are receiving a Luxe Butt Lift, Luxe Sculpt or Luxe Butt Enhancer, bring extra undergarments and a compression/training garment if you have one to wear after your service. If not we have garments for sale.
Please prepare to spend up to 2 hours with us depending on your service type.
Masks are required for entry.
If you are on your cycle some of our treatments may increase your flow. Please call to find out if you should reschedule.
Please do not bring any additional people to your appointment, they will not be allowed to enter the facility under any circumstances.
Please remove all metal jewelry before your appointment.
IF YOU FEEL SICK OR ARE EXPERIENCING COVID-19 SYMPTOMS PLEASE STAY HOME! Let us know if you are ill.
We look forward to seeing you at your appointment!
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