top of page

Consent Form

Answer Yes or No to the following questions: If Yes to any give more information in box provide at bottom

Do you have a history of cancer or undergone radiotherpay in the last 5 years? Required
Do you have a pacemaker or suffered heart conditions in the past? Required
Are you suffering from or had fibrosis, hepatitis all forms? Required
Are you taking or have taken steroids/ cortisone in the past 12 months Required
Are you pregnant or breastfeeding? Required
Are you suffering from osteoarthritis? Required

Thanks for submitting!

©2022 by Contour Confident.

  • alt.text.label.Instagram
bottom of page