• The Body Studio, LLC Laser Teeth Whitening Treatment Form

  • The patient receiving services from a laser technician at The Body Studio, LLC (or the Guardian of the patient) must complete the following information before the first treatment session.

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  • The Body Studio, LLC Laser Teeth Whitening Treatment

  • Cancellation Policy:

    If you're unable to make your next appointment, The Body Studio requires that you inform them a minimum of 24 hours before the appointment by either text message or phone call to the office number (417) 771-8585. After two no shows, prepayment for your next appointment will be required. 

  • I authorize the staff and members of The Body Studio, LLC to perform the following laser treatment procedures: Hair removal, skin rejuvenation, fat reduction, pigmentation reduction, veins/rosacea treatments, tattoo/scar removal treatments, acne/acne scar treatments and/or red blood vessel reduction, Spa Facials, Massage Therapy and Laser Teeth Whitening.

    I understand that multiple treatment sessions may be necessary to achieve my desired results.

  • I agree to allow The Body Studio, LLC to use photographs of the treated areas for documenting and monitoring of the treatment progress only.

    By signing this form (The Body Studio, LLC Laser Teeth Whitening Treatment) you and anyone claiming on your behalf can not hold The Body Studio, LLC, its affiliates, successors and assigns, officers, employees, representatives, partners and agents liable for past injuries, future injuries or damages of any kind.

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