Thank you for your interest in our SlimGenix Lipo-like Laser treatments.  It is not recommended for you to proceed with any Lipo-like treatments or Vibration Therapy under the following conditions:

  • Under the age of 18

  • Pregnant or breastfeeding

  • Pacemaker

  • Actively fighting Cancer

 

I understand, and confirm, it is my personal responsibility to inform the staff of SlimGenix of any current medical conditions and any changes to my medical history over the course of treatment. I am aware that clinic results may vary depending on individual factors, including medical history, compliance with pre/post treatment instructions, and individual response to treatment.

New Patient Form

arrow&v
arrow&v
arrow&v
arrow&v
Of the following, what goals do you have for your health and fitness journey? Select all that apply.

Thank you for submitting this form!