CLIENT DETAILS

Address

SERVICES OF INTEREST (PLEASE TICK ALL THAT APPLY)

Services of Interest

MEDICAL HISTORY

Medical History

PHOTOGRAPHY CONSENT

Photography Consent(Required)

PRIVACY POLICY

Bayside Endermologie Health & Wellness collects personal and health information for consultation, treatment planning, treatment delivery, safety, insurance and legal obligations.

Clinical records and photographs may be retained according to Australian legal and insurer requirements.

Privacy Policy Consent(Required)

REFUND POLICY

Completed treatments are non-refundable except where required by Australian Consumer Law.

Treatment packages and promotional offers are non-transferable unless approved by management.

Nothing in this policy excludes rights available under Australian Consumer Law.

CANCELLATION POLICY

A minimum of 24 hours notice is requested for cancellations or appointment changes.

Late cancellations or missed appointments may result in loss of deposit, treatment session or cancellation fee.

COMPLAINTS POLICY

Clients are encouraged to raise concerns promptly.

Where appropriate, clients may be asked to attend a review appointment and provide photographs.

Complaints are documented and reviewed as part of the clinic quality assurance process.

CLIENT DECLARATION

Client Declaration(Required)

SIGNATURES

Clear Signature
Clear Signature