The Cryo T-Shock safely and effectively uses thermal shock to naturally destroy fat cells without any damage to the skin. The Cryo T-Shock breaks down fat cells, which your body naturally flushes out through the bloodstream and the lymphatic system in days to weeks following the treatment. Cryo T-Shock also helps reduce the appearance of fine lines and wrinkles by stimulating collagen and elastin production while tightening muscles. The Cryo T-Shock is also beneficial for facial toning and lifting. Protocols will be discussed and or adjusted during consultation based on recommendations and clients needs.

I understand that results may vary depending on individual factors including but not limited to medical history, prior treatments of area being treated, skin type, patient compliance, with pre post care instructions and individual response to treatment. I understand that for purposes of fat cellulite reduction skin toning I must maintain good dietary habits, have sufficient intake of water and participate in light physical activity as well as comply with other items outlined during consultation.

  • Cryo T-Shock should not be applied over inflamed, infected, or swollen areas of the skin.

  • Cryo T-Shock should not be applied over near cancerous areas or on clients with active cancer or undergoing chemotherapy.

  • Cryo T-Shock should not be used on clients who suffer from Kidney Disease.

  • Cryo T-Shock should not be used on clients undergoing dialysis.

  • Cryo T-Shock should not be used on clients who are pregnant.

  • Cryo T-Shock should not be used on clients with varicose veins.

  • Cryo T-Shock facial applications should not be used on clients who have had Botox treatments within 14 days or Filler treatments within 30 days.

  • Cryo T-Shock should not be used on clients who suffer from Severe Diabetes where sensation has been lost in the skin.

I understand that any procedure involves risk. Risks may include redness, swelling irritation, skin reaction, or increased hear rate. Some may experience delayed onset muscle soreness from treatments on the stomach due to unintentionally engaging the abdominals, which disappear later that same day.

Following any T Shock Fat or Cellulite Reduction treatment the client understands that a vigorous workout for at least thirty minutes is required the same day in order to facilitate lymphatic drainage.

I have been honest and forthright about my medical history and am healthy to use the device. I am not pregnant, nor any other disease or condition that may be negatively impacted by the Cryo T-Shock Treatment.


purposes. Although the photographs or accompanying material will not contain my name or any other identifying information, I am aware that I will not be identified in the photos. Initial*


I understand each person has a different response to the Cryo T-Shock treatment. The risks, benefits, and possible results have been explained to me. I have been provided the opportunity to ask questions and received satisfactory responses. I agree to have my photograph taken to document my results and will not be used for marketing unless agreed upon (see above). Initial*

By signing below, I acknowledge and certify that I, have read and understand the "Consent, Release and Indemnity Agreement" for this treatment, and that I am signing it voluntarily. Should any pain or discomfort occur I will immediately notify the Orange Cryo Wellness Staff. I understand that I must be atleast 18 yrs old to participate in this treatment. I understand that all sales are final and refunds are not permitted.


Full Name*