OPTIMAL YOU - TEETH WHITENING

Acknowledgement and Expectations of Services
Everyone's teeth respond differently and everyone has their own natural white. Whitening will not have an effect on previous dental work (crowns, veneers, etc). Stains on any previous dental work will be brought back to original color. White spots may be more prevalent directly after whitening but will subside within 24 hours. During whitening, you may feel a slight tingling and burning sensation. After whitening, you may have increased sensitivity for up to 24 hours. Typically this sensitivity is minor and will go away within 24 hours. You may experience temporary irritation in your gums. This will be more prevalent in those who brushed their teeth within 2 hours of whitening.

Dentist Recommendation
To maintain healthy teeth and gums, it is recommended that you visit your dentist on a regular basis. If you have allergies or reactions to peroxide or glycerin, teeth whitening is not recommended. If you have diabetes, heart conditions, pregnant and or/currently breastfeeding you may want to consult with your doctor before using teeth whitening products.

Expectations
Satisfaction is guaranteed at the time of service. No refunds will be given after payment of services which is deemed satisfaction of results. In consideration of the services provided and other good and valuable considerations, the receipt and sufficiency of which is acknowledged by signature, Customer hereby releases forever and discharges Optimal You Teeth Whitening, and any other entity offering any of these services rendered, and it's employees, distributors and/or wholesalers, their heirs, executors, administrators, successors of and from all actions which Customer would choose to pursue.

Photo Consent
I grant permission for Optimal You Teeth Whitening the use of the photographs or electronic media and only authorized staff will have access to them. They will be kept as long as they are relevant and after that time destroyed or archived.

Agreement
I agree to and understand the statements presented above. I agree to and understand that payment is rendered at time of service and agree to pay the full amount. I hereby fully understand the possible risks, complications, and benefits that can result from the whitening treatment and give my consent to undergo this treatment as described.



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