{"id":394,"date":"2025-04-03T20:53:47","date_gmt":"2025-04-03T20:53:47","guid":{"rendered":"https:\/\/consent.liposincirugia.com\/?page_id=394"},"modified":"2025-04-04T13:49:08","modified_gmt":"2025-04-04T13:49:08","slug":"consent-en","status":"publish","type":"page","link":"https:\/\/consent.liposincirugia.com\/?page_id=394","title":{"rendered":"Consent EN"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"394\" class=\"elementor elementor-394\" data-elementor-post-type=\"page\">\n\t\t\t\t<div data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-element elementor-element-2bf5fad e-flex e-con-boxed e-con e-parent\" data-id=\"2bf5fad\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div data-particle_enable=\"false\" data-particle-mobile-disabled=\"false\" class=\"elementor-element elementor-element-e953d77 e-con-full e-flex e-con e-child\" data-id=\"e953d77\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-df3b043 elementor-widget elementor-widget-site-logo\" data-id=\"df3b043\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;width&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:20,&quot;sizes&quot;:[]},&quot;width_mobile&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:40,&quot;sizes&quot;:[]},&quot;align&quot;:&quot;center&quot;,&quot;width_tablet&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;space&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;space_tablet&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;space_mobile&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;image_border_radius&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;image_border_radius_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;image_border_radius_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;caption_padding&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;caption_padding_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;caption_padding_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;caption_space&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:0,&quot;sizes&quot;:[]},&quot;caption_space_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;caption_space_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]}}\" data-widget_type=\"site-logo.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"hfe-site-logo\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<a data-elementor-open-lightbox=\"\"  class='elementor-clickable' href=\"https:\/\/consent.liposincirugia.com\">\n\t\t\t\t\t\t\t<div class=\"hfe-site-logo-set\">           \n\t\t\t\t<div class=\"hfe-site-logo-container\">\n\t\t\t\t\t\t\t\t\t<img decoding=\"async\" class=\"hfe-site-logo-img elementor-animation-\"  src=\"https:\/\/consent.liposincirugia.com\/wp-content\/uploads\/2024\/09\/lipo-sin-cirugia-01-300x218.png\" alt=\"default-logo\"\/>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t<\/div>  \n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-30e42c0 elementor-widget elementor-widget-heading\" data-id=\"30e42c0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Treatment Consent<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ad8765d eael-wpforms-labels-yes eael-wpforms-form-button-custom elementor-widget elementor-widget-eael-wpforms\" data-id=\"ad8765d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"eael-wpforms.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t            <div class=\"eael-contact-form eael-wpforms title-description-hide eael-wpforms-align-default\">\n                                    <div class=\"eael-wpforms-heading\">\n                                                                    <\/div>\n                                <div class=\"wpforms-container wpforms-container-full wpforms-render-modern\" id=\"wpforms-388\"><form id=\"wpforms-form-388\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"388\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F394\" data-token=\"4ca48eb1ba978fd386089f86057a3930\" data-token-time=\"1780428573\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-hidden\" id=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-388-field_1-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"1\"><div id=\"wpforms-388-field_1\" class=\"wpforms-field-large wpforms-field-row\" aria-errormessage=\"wpforms-388-field_1-error\"><p>Client Consent Form and Disclaimer<br \/>\nI hereby consent to and authorize <strong>LIPO SIN CIRUG\u00cdA<\/strong> to perform the following procedure:<\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-388-field_2-container\" class=\"wpforms-field wpforms-field-checkbox wpforms-list-3-columns\" data-field-id=\"2\"><fieldset><legend class=\"wpforms-field-label\">Procedure <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-388-field_2\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-388-field_2_1\" name=\"wpforms[fields][2][]\" value=\"Skin Treatment\" aria-errormessage=\"wpforms-388-field_2_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-388-field_2_1\">Skin Treatment<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-388-field_2_2\" name=\"wpforms[fields][2][]\" value=\"Chemical Peels\" aria-errormessage=\"wpforms-388-field_2_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-388-field_2_2\">Chemical Peels<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-388-field_2_3\" name=\"wpforms[fields][2][]\" value=\"Demapen\" aria-errormessage=\"wpforms-388-field_2_3-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-388-field_2_3\">Demapen<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-388-field_2_4\" name=\"wpforms[fields][2][]\" value=\"Radiofrecuency\" aria-errormessage=\"wpforms-388-field_2_4-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-388-field_2_4\">Radiofrecuency<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-388-field_2_5\" name=\"wpforms[fields][2][]\" value=\"PRP\" aria-errormessage=\"wpforms-388-field_2_5-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-388-field_2_5\">PRP<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-388-field_2_7\" name=\"wpforms[fields][2][]\" value=\"Cryolipolysis\" aria-errormessage=\"wpforms-388-field_2_7-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-388-field_2_7\">Cryolipolysis<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-388-field_2_8\" name=\"wpforms[fields][2][]\" value=\"Cavitation\" aria-errormessage=\"wpforms-388-field_2_8-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-388-field_2_8\">Cavitation<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-388-field_2_6\" name=\"wpforms[fields][2][]\" value=\"Other\" aria-errormessage=\"wpforms-388-field_2_6-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-388-field_2_6\">Other<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-388-field_3-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"3\"><div id=\"wpforms-388-field_3\" class=\"wpforms-field-large wpforms-field-row\" aria-errormessage=\"wpforms-388-field_3-error\"><p>I have voluntarily elected to undergo this treatment\/procedure after the nature and purpose of this treatment has been explained to me, along with the risks and hazards involved. I have been informed of possible benefits, risks, and complications. I also recognize there are no guaranteed results and that independent results are dependent upon age, skin condition, and lifestyle and that there is the possibility I may require further treatments of the treated area to obtain the expected results as an additional cost. I have read and understood the post-treatment care instructions. I understand that it is my responsibility to follow all instructions given to me regarding my treatment or suggested home-care treatment. In the event that I have any concerns regarding my treatment or subsequent treatments, I must contact the salon as soon as possible to obtain further instructions for my care. I also, by the below signature, acknowledge that I have disclosed, to the best of my knowledge, an accurate account of my medical history and any current medications I am using, including any prescribed drugs or problems. I understand that I have the responsibility to disclose any medical conditions that could affect the outcome of the treatment. I understand all questions have been answered to my satisfaction and that I accept the risks.I do not hold the esthetician responsible for any conditions I may have that were not disclosed at the time of this skin care procedure, which may affect the treatment performed today. I verify that I have read and understood this consent form and hereby authorize the treatment, personal data collection and use, including images of my face\/body, and use my phone number for marketing purposes.<\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-388-field_8-container\" class=\"wpforms-field wpforms-field-content\" data-field-id=\"8\"><div id=\"wpforms-388-field_8\" class=\"wpforms-field-medium wpforms-field-row\" aria-errormessage=\"wpforms-388-field_8-error\"><p><strong>Cancellation and Punctuality Clause<br \/>\n<\/strong>I understand that I must notify any cancellation or rescheduling at least 24 hours in advance. If I fail to do so, I will be charged for the full treatment. If I arrive late, the lost time will be deducted from my treatment, with no right to reschedule or receive a refund.<\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-388-field_4-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-388-field_4\">Name (Printed) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-388-field_4\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][4]\" aria-errormessage=\"wpforms-388-field_4-error\" required><\/div><div id=\"wpforms-388-field_5-container\" class=\"wpforms-field wpforms-field-signature\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-388-field_5\">Client Name Signature <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-388-field_5\" class=\"wpforms-signature-input wpforms-screen-reader-element wpforms-field-required\" data-is-wrapped-field=\"1\" name=\"wpforms[fields][5]\" autocomplete=\"off\" aria-errormessage=\"wpforms-388-field_5-error\" required><div class=\"wpforms-signature-wrap wpforms-field-large\"><canvas class=\"wpforms-signature-canvas\" id=\"wpforms-388-field_5-signature\" data-color=\"#000000\"><\/canvas><div class=\"wpforms-signature-clear\" title=\"Clear Signature\" tabindex=\"0\">\n\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"1em\" height=\"1em\" preserveAspectRatio=\"xMidYMid meet\" viewBox=\"0 0 1536 1536\">\n\t\t\t\t\t<path fill=\"var( --wpforms-field-text-color, rgba(0, 0, 0, 0.25) )\" d=\"M1149 994q0-26-19-45L949 768l181-181q19-19 19-45q0-27-19-46l-90-90q-19-19-46-19q-26 0-45 19L768 587L587 406q-19-19-45-19q-27 0-46 19l-90 90q-19 19-19 46q0 26 19 45l181 181l-181 181q-19 19-19 45q0 27 19 46l90 90q19 19 46 19q26 0 45-19l181-181l181 181q19 19 45 19q27 0 46-19l90-90q19-19 19-46zm387-226q0 209-103 385.5T1153.5 1433T768 1536t-385.5-103T103 1153.5T0 768t103-385.5T382.5 103T768 0t385.5 103T1433 382.5T1536 768z\"\/>\n\t\t\t\t<\/svg>\n\t\t\t\t<div class=\"wpforms-signature-clear-caption\">Clear Signature<\/div>\n\t\t\t<\/div><\/div><\/div><div id=\"wpforms-388-field_6-container\" class=\"wpforms-field wpforms-field-signature\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-388-field_6\">Esthetician Signature <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-388-field_6\" class=\"wpforms-signature-input wpforms-screen-reader-element wpforms-field-required\" data-is-wrapped-field=\"1\" name=\"wpforms[fields][6]\" autocomplete=\"off\" aria-errormessage=\"wpforms-388-field_6-error\" required><div class=\"wpforms-signature-wrap wpforms-field-large\"><canvas class=\"wpforms-signature-canvas\" id=\"wpforms-388-field_6-signature\" data-color=\"#000000\"><\/canvas><div class=\"wpforms-signature-clear\" title=\"Clear Signature\" tabindex=\"0\">\n\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"1em\" height=\"1em\" preserveAspectRatio=\"xMidYMid meet\" viewBox=\"0 0 1536 1536\">\n\t\t\t\t\t<path fill=\"var( --wpforms-field-text-color, rgba(0, 0, 0, 0.25) )\" d=\"M1149 994q0-26-19-45L949 768l181-181q19-19 19-45q0-27-19-46l-90-90q-19-19-46-19q-26 0-45 19L768 587L587 406q-19-19-45-19q-27 0-46 19l-90 90q-19 19-19 46q0 26 19 45l181 181l-181 181q-19 19-19 45q0 27 19 46l90 90q19 19 46 19q26 0 45-19l181-181l181 181q19 19 45 19q27 0 46-19l90-90q19-19 19-46zm387-226q0 209-103 385.5T1153.5 1433T768 1536t-385.5-103T103 1153.5T0 768t103-385.5T382.5 103T768 0t385.5 103T1433 382.5T1536 768z\"\/>\n\t\t\t\t<\/svg>\n\t\t\t\t<div class=\"wpforms-signature-clear-caption\">Clear Signature<\/div>\n\t\t\t<\/div><\/div><\/div><div id=\"wpforms-388-field_7-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-388-field_7\">Date <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-388-field_7\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-required wpforms-field-small\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][7][date]\" aria-errormessage=\"wpforms-388-field_7-error\" required><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"388\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/consent.liposincirugia.com\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F394\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-388\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img decoding=\"async\" src=\"https:\/\/consent.liposincirugia.com\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->            <\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Treatment Consent Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. Client Consent Form and Disclaimer I hereby consent to and authorize LIPO SIN CIRUG&Iacute;A to perform the following procedure: Procedure * Skin Treatment Chemical Peels Demapen Radiofrecuency PRP Other I have voluntarily elected to [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_canvas","meta":{"footnotes":""},"class_list":["post-394","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/consent.liposincirugia.com\/index.php?rest_route=\/wp\/v2\/pages\/394","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/consent.liposincirugia.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/consent.liposincirugia.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/consent.liposincirugia.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/consent.liposincirugia.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=394"}],"version-history":[{"count":10,"href":"https:\/\/consent.liposincirugia.com\/index.php?rest_route=\/wp\/v2\/pages\/394\/revisions"}],"predecessor-version":[{"id":411,"href":"https:\/\/consent.liposincirugia.com\/index.php?rest_route=\/wp\/v2\/pages\/394\/revisions\/411"}],"wp:attachment":[{"href":"https:\/\/consent.liposincirugia.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=394"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}