Fat Dissolving Injection Consent Form | Kybella, PCDC, Aqualyx Waiver (Canva Word PDF)

⚠️ IMPORTANT: You will need a free Canva account or Microsoft Word/Google Docs to use this template. No physical product will be shipped.

Whether you offer Kybella, PCDC, Aqualyx, Lemon Bottle, or compounded deoxycholic acid, you need thorough informed consent before every fat dissolving injection session. This Fat Dissolving Injection Consent, Intake & Liability Waiver Bundle includes product selection checkboxes for all major fat dissolving injectables, a 13-zone treatment area table, detailed contraindications screening, expected side effects with swelling timeline, off-label use disclosure, pre/post treatment instructions, and full liability protection — plus two bonus tools your clients will love.

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✨ WHAT'S INCLUDED
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Your purchase includes ALL of the following:

📄 Fat Dissolving Injection Informed Consent, Client Intake & Liability Waiver - Editable Canva Word PDF
✅ Word Document (.docx) - Edit in Microsoft Word or Google Docs
✅ PDF Format (.pdf) - Fillable form, print-ready
✅ Canva Template Link - Edit and customize with your branding

📦 BONUS FILES:
✅ Quick Start Guide (PDF + Canva Template)
✅ Pre-Sign Checklist (PDF) - Setup guide before your first client
✅ Client Aftercare & Post-Injection Guide (PDF) - Give to every client with swelling timeline!
✅ Treatment Session Log & Measurement Tracker (PDF) - Track dosage, measurements, and results across sessions

That's 7 professional files in one bundle!

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🚀 HOW IT WORKS
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1️⃣ Purchase & Download
Instant access to all files after payment

2️⃣ Choose Your Format
Open the .docx in Word or Google Docs, use the PDF, or Canva

3️⃣ Customize
Add your clinic name, credentials, products offered, pricing, and aftercare timeframes

4️⃣ Use
Walk clients through the consent form. Have them initial risk sections. Give them the Aftercare Guide after treatment.

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⭐ KEY FEATURES
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✔️ 14 detailed sections covering informed consent, medical intake, and liability waiver
✔️ Covers ALL major fat dissolving products: Kybella, PCDC, Aqualyx, Lemon Bottle, and compounded formulations
✔️ 13-zone treatment area selection table (submental, jowls, abdomen, flanks, thighs, arms, back, and more)
✔️ Contraindications screening: dysphagia, blood thinners, liver/kidney disease, BMI screening, allergy to ingredients
✔️ Expected side effects table with detailed swelling timeline (days 1-5 peak, weeks 2-4 subsiding, weeks 4-8 results)
✔️ Off-label use disclosure with client initials (for non-Kybella products and non-submental areas)
✔️ Pre-treatment AND post-treatment instructions built into the consent form
✔️ BONUS: Client Aftercare Guide with day-by-day swelling timeline and recovery instructions
✔️ BONUS: Treatment Session Log with per-area measurement tracking across 6+ sessions
📝 Canva Template Access: Edit files directly in Canva — customize colors, fonts, and add your logo!

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💉 PERFECT FOR
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✔️ Medical spas and aesthetic clinics
✔️ Cosmetic nurses and nurse injectors
✔️ Physician assistants and nurse practitioners
✔️ Dermatologists and plastic surgeons
✔️ Body contouring and fat reduction providers
✔️ Kybella-certified injectors
✔️ Providers using PCDC, Aqualyx, or Lemon Bottle
✔️ Mobile aesthetic injection services

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❓ FREQUENTLY ASKED QUESTIONS
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**Q: Does this cover multiple fat dissolving products?**
A: Yes! The form includes checkboxes for Kybella, PCDC, Aqualyx, Lemon Bottle, and compounded deoxycholic acid. Select which product you're using for each client. You can also remove products you don't offer.

**Q: What about off-label use?**
A: Section 11 includes a dedicated off-label disclosure that explains to clients when a product or treatment area is not FDA-approved for that specific use. Clients initial to confirm understanding.

**Q: What's the Aftercare Guide?**
A: A one-page handout with a day-by-day swelling timeline (days 1-2 onset, days 2-5 peak, weeks 2-4 subsiding, weeks 4-8 final results), ice instructions, pain management, activity restrictions, and when to call you. Give it to every client after treatment.

**Q: What's the Measurement Tracker?**
A: A landscape form that tracks circumference measurements per treatment area across 6+ sessions, plus dosage, side effects, and progress. Clients love seeing their numbers decrease over time.

**Q: Do I need design experience?**
A: Not at all! Canva is drag-and-drop. Word and PDF are ready to fill in.

**Q: Can I edit this on my phone/tablet?**
A: Yes! Canva works on mobile. For Word, use the Microsoft Word or Google Docs app.

**Q: Is this legally binding?**
A: This is a template for informational purposes only, not legal or medical advice. Have it reviewed by a healthcare attorney for your jurisdiction.

**Q: Can I use this for multiple clients?**
A: Yes! Reuse for every client as many times as needed.

**Q: Will I receive physical documents?**
A: No, digital download only. Edit digitally or print yourself.

**Q: Do you offer refunds?**
A: Due to the digital nature, refunds aren't available after download. Contact us before purchase with questions!

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⚠️ LEGAL DISCLAIMER
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This is a TEMPLATE for informational purposes only and does not constitute legal or medical advice. We are not attorneys or medical professionals. This template:

• Is NOT a substitute for professional legal or medical advice
• Should be reviewed by a qualified healthcare attorney and compliance officer before use
• May not be suitable for your specific situation, jurisdiction, or scope of practice
• Does not create any professional relationship
• Is provided "as-is" without warranties of any kind

We recommend consulting a licensed healthcare attorney to ensure compliance with applicable laws and regulations. By purchasing, you acknowledge these limitations and agree to use at your own risk.

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📊 SEO KEYWORDS (internal reference)
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