Policies.

1. Purpose of Pay Over Time

At Contour By Christina, we offer flexible payment plans to help make our services more accessible. Our “Pay Over Time” option allows patients to spread out the cost of treatments over a set period. Please read the following terms and conditions carefully before agreeing to a payment plan.

2. Eligibility

• This payment plan is available for treatments with a minimum cost of $250. • Patients must have a valid credit or debit card on file and pass a basic creditworthiness assessment. • A signed payment agreement is required before starting the treatment plan.

3. Payment Terms

• The total cost of the treatment plan will be divided into 4 equal payments. • Payments will be automatically charged to the card on file on a bi-weekly basis. • An initial down payment of $100 for services is due at the time of booking. This fee will be applied to the total cost of services.

4. Interest and Fees

• No interest will be applied if payments are made on time. • Late payments may incur a late fee of $25 per missed payment. • If a payment is declined, a notification will be sent, an $25 late fee will be incurred, and the client will have 10 days to correct the issue before additional penalties are applied.

5. Failure to Pay

• If payments are not received according to the agreed-upon schedule, Contour By Christina reserves the right to suspend further treatments until the account is brought current.

• Accounts that remain delinquent for over 90 days may be sent to collections, and the patient will be responsible for any legal or collection fees incurred.

1. Purpose

This Notice of Privacy Practices describes how your medical information may be used and disclosed, and how you can access this information. Please review it carefully.

2. Uses and Disclosure of Health Information

• We may use or disclose your health information for treatment, payment, and healthcare operations. For example: • Treatment: We may use your health information to provide you with medical care and treatment. • Payment: We may disclose your health information to obtain payment for services provided. • Healthcare Operations: We may use or disclose your health information in the course of operating our facility, including audits, quality assessments, and training.

3. Patient Rights

You have the right to: • Request restrictions on certain uses and disclosures of your health information. • Receive confidential communications regarding your health information. • Inspect and obtain copies of your health information. • Request an amendment to your health information. • Receive an accounting of disclosures of your health information. • Obtain a paper copy of this Notice, even if you agreed to receive it electronically.

4. Complaints

If you believe your privacy rights have been violated, you may file a complaint with our office or with the Office for Civil Rights of the U.S. Department of Health and Human Services. We will not retaliate against you for filing a complaint.

5. Acknowledgment of Receipt of Notice of Privacy Practices

I acknowledge that I have received a copy of Contour By Christina’s Notice of Privacy Practices, which describes how my protected health information will be used and disclosed. I understand that I have the right to review the Notice before signing this acknowledgment.

6. Authorization for Disclosure of Health Information

I authorize Contour By Christina to use and disclose my health information to carry out treatment, payment, and healthcare operations as outlined in the Notice of Privacy Practices.

1. Purpose of Form

The purpose of this form is to ensure that you, the client, are fully informed of your financial responsibility and understand the risks, benefits, and outcomes associated with the medical aesthetic treatments offered at Contour By Christina.

2. Payment Terms

I understand that payment for all services, products, and treatments requires a down payment of $100 with the exception of consultations and follow-up appointments. Down payment is due at time of booking and will be applied to the overall cost of services once service is completed. Payment for the service in it’s entirety is due at the time of service unless other arrangements have been made in writing prior to the appointment, or a pay later schedule is established at time of appointment. Contour By Christina accepts cash, checks, and credit cards: Visa, Mastercard, Discover.

3. Pre-Paid Packages

If I purchase a package of services, I understand that the total payment is due in full upfront, unless a pay-later plan is made, and no refunds will be given for unused services. All pre-paid packages have an expiration date of 12 months from the date of purchase, unless otherwise specified. All pre-paid package appointments are required to provide a $50 booking fee that will be fully refunded at completion of service.

4. Refund Policy

I understand that Contour By Christina does not provide refunds for services rendered. All sales of products and services are final. In the event of dissatisfaction with the results, I may be eligible for additional corrective treatments as deemed appropriate by the medical provider, but no monetary refunds will be issued.

5. Insurance Coverage

I acknowledge that aesthetic services are typically not covered by health insurance plans. I understand that I am fully responsible for payment of all services, and Contour By Christina does not bill insurance for medical aesthetic treatments.

6. Cancellation Policy

I acknowledge that if I cancel my appointment with less than 24 hours’ notice or fail to show up for my scheduled appointment, I will be charged a $100 cancellation fee. This fee will be automatically charged to the credit card on file.

7. Illinois Consumer Protection

This financial liability complies with the Illinois Consumer Fraud and Deceptive Business Practices Act. All terms are transparent, and the patient has the right to receive all necessary information regarding the cost and nature of treatments before entering into this agreement.

8. Right to Modify

Contour By Christina reserves the right to modify the terms of this agreement as needed, with written notice to the patient. Any changes will not affect existing payment agreements, but may apply to future treatments or new clients.