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Informed Consent and Treatment Agreement
This page provides the current Aevum treatment consent information for reference. Clients complete the applicable consent process before treatment.
ABN 33 699 175 838123 Martin Street, Brighton VIC 3186team@aevumclinic.com.au
Your Aevum session may include:
depending on the program, your suitability and the practitioner's recommendation.
This document explains the nature of those services, important risks and screening considerations and asks for your informed consent.
You may ask questions before signing or at any point during your program.
You may choose not to proceed.
The Emerald® Laser System is a low-intensity laser device manufactured by Erchonia Corporation and used for non-invasive body contouring.
It applies low-intensity 532 nm laser energy and does not use the high heat associated with some other laser procedures.
The relevant low-intensity laser fat liquefaction system is currently included on the Australian Register of Therapeutic Goods as ARTG 395892, a Class IIa medical device.
Sensations and risks
Most clients do not report significant discomfort from the laser itself, although the laser light will be visible.
Protective eyewear must be worn as directed throughout treatment.
Possible effects may include mild and temporary skin redness or other individual reactions.
If you experience pain, unusual discomfort, visual concerns or another unexpected reaction, tell your practitioner immediately.
Individual response cannot be guaranteed.
Ballancer® Platinum is a sequential pneumatic compression system.
Inflatable garments apply rhythmic compression to the limbs or treatment area.
Aevum uses Ballancer as part of selected programs and services, including following some Emerald sessions.
The relevant sequential compression unit is currently included on the Australian Register of Therapeutic Goods as ARTG 408807, a Class IIa medical device.
Sensations and risks
Treatment involves firm rhythmic compression.
Possible effects may include:
Tell your practitioner immediately if compression is painful or feels abnormal.
Results vary between clients.
Aevum does not guarantee any particular:
Photographs, testimonials, examples, research results and other representations are illustrative and do not guarantee that you will achieve the same result.
Results and assessment may be affected by factors including:
To support appropriate treatment and meaningful assessment, I agree to:
I understand that completing treatment substantially outside the recommended cadence or not following important agreed guidance may affect the usefulness of progress assessment and individual outcomes.
Please answer honestly and completely.
Some circumstances may mean that treatment should not proceed.
Others may require individual practitioner assessment or appropriate medical clearance before proceeding.
Before treatment, the client is asked to confirm that:
Consent to Emerald® Laser and Ballancer® Platinum is obtained separately so that a client consents only to the technology or technologies applicable to them.
AEVUM CLINIC PTY LTD collects and handles personal and health information as described in the Aevum Privacy Policy and applicable Australian privacy and health-record laws.
We use information for purposes including:
Aevum uses third-party service providers for functions including practice management, secure data storage, appointments and communications. Some providers may process information outside Australia.
Information about overseas processing, access, correction and privacy complaints is available in the Aevum Privacy Policy.
Progress photographs may be useful for monitoring changes during a program.
Clinical progress photography and marketing use require separate consideration and consent.
Use of photographs for advertising, social media, website content, testimonials or other marketing is optional.
Declining marketing photography does not affect access to treatment.
Marketing consent may be withdrawn for future use by contacting Aevum.
Withdrawal does not necessarily require Aevum to delete clinical records that must be retained by law and may not allow Aevum to recall material lawfully published before consent was withdrawn.
Clients are provided with access to the Aevum Client & Program Terms and Aevum Privacy Policy.
Treatment consent, commercial program terms and privacy obligations operate together but serve different purposes.
Body-contouring and compression services involve individual responses and cannot be guaranteed to be free of all risks or complications.
Clients have the opportunity to ask questions and seek independent advice before proceeding.
Nothing in this document excludes, restricts or modifies any right or remedy that cannot lawfully be excluded under the Australian Consumer Law or another applicable law.