I declare and certify as a voluntary model that I have been clearly and precisely informed by Esthetique Modele of the following information:
1. I confirm being aware that by registering on the website ESTHETIQUE MODELE via the website www.esthetique-modele.com or via the Facebook page, I agree by my own free will, to be part of a patient file designed to be communicated exclusively to health professionals in order to be selected to participate in medical workshops such as
– anti-age treatments including injections on my face, neck, or hands (injections according to the workshop and products such as: hyaluronic acid, botulinum toxin or calcium hydroxylapatite, peeling, meso or other) or thread lifting.
– Body treatments including cryolipolysis, laser, machine or specific anti-cellulite treatment technique.
2. I understand that Esthetique Modele is acting as a casting agent on behalf of laboratories or doctors, in order to find and pre-select models that will participate in training events and demonstrations of anti-aging procedures and treatments (hyaluronic acid injections , botulinum toxin injections, calcium hydroxylapatite injections, mesotherapy, laser, peeling and body care, including body contouring treatments, treatments of bulges with techniques such as cryolypolise, laser, machine or specific anti-cellulite treatment technique); which therefore aims only to connect people seeking free aesthetic and anti-aging treatments with health professionals (laboratories and doctors) wishing to organize trainings and demonstration workshops.
3. I understand that Esthetique modele is not qualified to give medical advice, thus Esthetique Modele will not give me any advice and / or information on the treatments performed during the workshop, products used and / or injected except their name for the case where the laboratory or the doctor would have previously communicated to it Esthetique Modele, including results, possible complications, etc.
4. I understand that Esthetique Modele declines all responsibility for any complications resulting from acts performed by doctors during the workshop organized by the laboratory or the doctor.
5. I understand that the laboratory or the doctor organizing the workshop could request a photo shoot and / or a film before / after injections and / or aesthetic procedure, and in that case will have to request my written and preliminary authorization to have my image photographed and / or recorded and reproduced and used for the internal or external communication needs of the laboratory or others; furthermore, I certify that I am not bound to any exclusive contract on the use of my image.
6. I understand that as of January 1, 2016,the people that were cast, selected and participated in a workshop proposed by Esthetique Modele, undertake not to participate in any other workshop proposed by another entity. In fact, the Esthetique Modele database requires a special follow-up of the workshops and the participants. I understand that I undertake not to respond to direct solicitations.
7. I understand that my participation in the workshop commits the presence of an entire team of medical professionals. A no-show incident on my behalf would have detrimental consequences on the successful completion of the workshop. In this context, I take responsibility to be present at the appointment/s that have been scheduled and confirmed for me by Esthetique Modele. A no-show incident will result in my profile being permanently deleted from Esthetique Modele’s database.
8.I understand that some types of workshops require my presence at pre-selection meetings for a preliminary diagnosis. It may be that I participate in a pre-selection without guarantee that in the end I will be selected for the treatment (for example: for silhouette treatments with the cryolipolysis technique).
9. I understand that no financial compensation will be paid to me by Esthetique Modele for my travel expenses, except when specifically aranged prior to the event.
10. I certify that I have no medical history forbiding me to participate in aesthetic workshops such as allergies, autoimmune disease, HIV or other vulnerabilities that could put my health at risk.
11. I understand that I am solely responsible for the information and photographs that I am to communicate to Esthetique Modele and therefore to the Laboratory or to the doctor; I pledge in this respect not to declare false medical or other information. I realize that this could be dangerous for my health. As such Esthetique Modele disclaims any responsibility for the communication of erroneous information that I have transmitted and / or the non-compliance of the photographs that I would have delivered.
12. In accordance with Law No. 78-17 of January 6, 1978, relating to information technology, files and freedoms, you have the right to access and rectify personal data concerning you and which is the subject of treatment.
Your request must be made by mail to firstname.lastname@example.org.