Disclosure and Release of LiabilityDisclosure: The treatments are a process and subsequent visits may be necessary in order to achieve the desired results. Subsequent visits are subject to additional charges per visit which depends on the amount of work needed. Actual results vary from person to person and Akala Med Spa does not guarantee any specific result. terms including all procedures that Ākala Med Spa LLC provides. The various treatment carries with it possible health complications and consequences, which include but not be limited to the risk of Kidney failure, Liver failure, Pacemaker failure, birth defects, miscarriage, Thyroid damage, damage to Ovaries, lactation complications, hyperglycemia, Hypercholesterolemia, Pancreatitis, Infection, Scarring and or Allergic reaction to any products used, excessive thirst, dehydration, nausea. The treatments include, but is not limited to, the use of high power, low frequency Ultrasound Cavitation, Radio Frequency Skin Tightening procedures, Laser Lipolysis, Intense Pulse Light (IPL), Co2 fractional lasers, and / or other technologies which are used to penetrate the skin and assist with the breakdown of fat cells and the tightening of the skin in specified regions.

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AFTERCARE: Aftercare instructions have to be followed exactly, whether given in writing or verbally. Failure to follow aftercare instructions may compromise the final results of the treatment. Instructions: You should avoid alcoholic beverages, and drink approximately 1.5 liters of water (51oz) of water within 24 hours.

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BEFORE, DURING AND AFTER PICTURE: Before, during, or after pictures may be taken to document your treatment. These pictures become Akala Med Spa sole property and may only be used for its legitimate record keeping.

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RELEASE: I recognize that there are certain inherent risks associated with the above described treatment and I assume full responsibility for personal injury to myself. In exchange for such treatment, I hereby fully release and fully discharge Akala Med Spa (including its officers, members, owners, employees, an agents) from any and all damages, costs, expenses, liabilities, cause of action, claims and demands of whatever character in law or equity, whether known or unknown, direct or indirect, asserted or not asserted, and whether or not in account of myself or Akala Med Spa or other third parties, or in any way arising out of the above described treatment I have requested Akala Med Spa to perform. It is the intention of the parties that this agreement binds all parties whose claims may arise out of, or relate to the treatment or services provided by Akala Med Spa including any spouse or heirs of the client/patient, and any children, whether born or unborn. Any legal or equitable claim that may arise from participation shall be resolved under Hawaii State Law.

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RESULTS: I agree that results are subjective and that my lifestyle can mitigate these results, therefore the cost of these procedures are non-refundable.

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IDEMNIFICATION: I agree to Indemnify, hold harmless and defend Akala Med Spa (Company) including its officers, members, owners, employees, and agents against all third party claims, causes of action, damages, judgments, costs or expenses, including attorney’s fees and any other litigation costs, which may in any way arise from the above described treatment I have requested Akala Med Spa to perform.

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ARBITRATION: It is understood that any dispute arising as to malpractice of the treatments shall be decided by a neutral arbitrator. Any arbitration will be governed by Hawaii State arbitration statutes. The fees for the arbitrator will be split pro-rata among the parties and each party will be responsible for their own attorney’s fees and costs. Any action to collect fees from the Client/Patient for the treatments performed may be brought in any court located in Hawaii and prevailing party. In such collection, actions shall be entitled to recover it reasonable attorney’s fees and costs. Filing of any action in any court to collect any fee from Client/Patient shall not waive the right to compel arbitration of any malpractice claim.

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BY SIGNING THIS AGREEMENT, I CONFIRM THAT I AM OVER THE AGE OF 18, I UNDERSTAND THAT THE ULTRASOUND CAVITATION PROCEEDURE IS PERMANENT, THAT SUCH PROCEDURE HAS POSSIBLE ADVERSE CONSEQUENCES AND THAT THE PROCEDURE IS FOR COSMETIC PURPOSES ONLY. I CERTIFY THAT I HAVE READ THE ABOVE PARAGRAPHS, FULLY UNDERSTAND THE PROCEDURE'S RISKS, AND HEREBY CONSENT TO THE INDICATED PROCEEDURES. THIS MEANS THAT I ACCEPT FULL RESPONSIBILITY FOR THESE AND OR ANY OTHER COMPLICATIONS WHICH MAY ARISE OR RESULT, DURING OR FOLLOWING THE PROCEEDURE WHICH IS TO BE PERFORMED AT MY REQUEST. ACCORDING TO THIS AGREEMENT AND I HEREREBY AGREE TO ARBITRATION OF ANY MALPRACTICE CLAIM. I FURTHER UNDERSTAND THAT THE COST OF THESE PROCEDURES ARE NON REFUNDABLE AND THAT BY SIGNING THIS AGREEMENT, I VOLUNTARY SURRENDER CERTAIN LEGAL RIGHTS.