INFORMED CONSENT FOR TREATMENT

Manuela Shala® Method Client Treatment Form

This document is intended to inform the client about the general characteristics of the Manuela Shala® Method treatment, the declarations required prior to the execution of the treatment, possible contraindications, precautions, possible temporary reactions, and the conditions under which the service is provided.

This informed consent does not in any way replace the opinion, diagnosis, prescription, or supervision of the attending physician or any other healthcare professional.

Client Information

2. Preliminary Information About the Treatment

The client declares that they have been fully informed about the Manuela Shala® Method treatment. The client declares that they have received clear and understandable explanations regarding the nature of the treatment, the methods of execution, its aesthetic/wellness purposes, the precautions to be observed, post-treatment recommendations, and possible temporary reactions.

The client declares that they have had the opportunity to ask all questions related to the treatment in question and that they have received satisfactory answers prior to the execution of the treatment.

The client acknowledges that the treatment does not have any medical, diagnostic, or therapeutic purpose, and that any concerns regarding their health condition must be evaluated in advance by their attending physician or a specialist.

3. Choice of Treatment Intensity and Recommended Program

The client acknowledges that the Manuela Shala® Method / LinfoModellante® Method is a highly effective manual treatment aimed at improving the aesthetic appearance and overall wellness of the treated area.

The client is informed that the treatment may produce visible and perceptible effects from the very first session; however, in order to achieve more lasting, progressive, and consolidated results, it is strongly recommended to agree on a personalized treatment program consisting of multiple sessions with the practitioner. The duration of the program, the recommended number of sessions, and the frequency of treatments may vary depending on several factors, including:

• the client’s initial condition;

• the desired objective;

• the individual response to the treatment;

• personal sensitivity;

• the presence of fluid retention, swelling, localized adiposity, or other subjective characteristics;

• lifestyle, nutrition, and physical activity;

• the pressure intensity agreed upon with the practitioner;

• compliance with post-treatment recommendations.

The client acknowledges that the intensity of the treatment is determined after consultation with the practitioner, taking into account the individual tolerance threshold, the condition of the treated area, the desired objective, and the practitioner’s professional assessment.

The client understands that a greater intensity may make the treatment deeper, more vigorous, and potentially faster in achieving the desired result, but it may also involve greater discomfort, perceived pain, sensitivity, soreness, redness, bruising, or small superficial hematomas. The client further understands that a lower intensity may make the treatment more comfortable and gentle, but it may require a greater number of sessions in order to achieve and maintain the desired result. The treatment intensity may be modified during the course of the program, following discussion with the practitioner, according to the body’s response, the client’s tolerance, and the evolution of the treatment.

3.1 Treatment Intensity Options

After having been informed and following consultation with the practitioner, the client may indicate their initial preference among the following intensity options.

Option 1 — Comfort / Gentle Intensity

This option involves lighter and more progressive pressure, recommended for particularly sensitive clients, first-time clients, individuals with a low pain tolerance, or those who prefer a more comfortable treatment experience.

The treatment is generally more pleasant and less intense; however, it may require a greater number of sessions in order to achieve and maintain the desired result.

The client acknowledges that this option prioritizes comfort

Option 2 — Intermediate / Progressive Intensity

This option involves balanced pressure, adjusted by the practitioner according to the body’s response and the client’s tolerance. It is suitable for those who desire a good balance between effectiveness, comfort, and progressive results.

The treatment may involve moderate discomfort, temporary sensitivity, redness, or soreness; in sensitive skin, bruising may also occur. However, it is performed while aiming to maintain an appropriate level of tolerability for the client.

The client acknowledges that this option represents a balance between results, comfort, and number of sessions.

Option 3 — High / Enhanced Intensity

This option involves stronger, deeper, and more energetic pressure, agreed upon with the practitioner and applied only if deemed compatible with the client’s condition. It is suitable for those who desire a more decisive treatment and are willing to accept a higher level of discomfort or pain during the session.

The client acknowledges that higher intensity may contribute to a faster path toward the desired result, but it may also involve increased sensitivity, soreness, redness, superficial bruising, small hematomas, or temporary post-treatment discomfort.

The client declares that they have been informed that high intensity is not mandatory, is not suitable for everyone, and may be reduced at any time if deemed appropriate by either the practitioner or the client.

3.2 Confirmation of Choice

The client declares that they understand that:

• the treatment may be adjusted according to their personal tolerance threshold;

• higher intensity may involve greater discomfort or perceived pain;

• lower intensity may require more sessions in order to achieve lasting and consolidated results;

• the practitioner may modify, reduce, suspend, or postpone the treatment if they consider the chosen intensity not appropriate;

• the initial choice of intensity does not guarantee a specific or identical result for all clients;

• the recommended treatment program may vary from person to person

4. Client Declarations

The client, under their own responsibility, declares the following:

5. Responsibility for the Information Provided

The client declares that all personal, physical, pharmacological information and information relating to their health condition provided to the practitioner is true, complete, up to date, and not misleadingor omitted.

The client acknowledges that the practitioner relies on the information provided in order to assess whether or not to proceed with the treatment.

The client releases the practitioner, the center, collaborators, and the owner from any liability arising from consequences, reactions, or issues attributable to false, incomplete, inaccurate, outdated statements, or to voluntary or involuntary omissions regarding pathologies, allergies, inflammation, pharmacological treatments, pregnancy, surgical procedures, skin conditions, health status, or any other relevant circumstances.

It is understood that the practitioner may, at their professional discretion, refuse, suspend, or postpone the treatment if they consider that the appropriate conditions for carrying it out are not met.

6.Possible Reactions and Results

The client acknowledges that the treatment may cause temporary reactions, such as, by way of example: redness, heat, soreness, skin sensitivity, temporary swelling, superficial bruising, small hematomas, increased urination, feeling of lightness, temporary fatigue, and other subjective reactions.

The client understands that results may vary from person to person depending on physical condition, lifestyle, nutrition, physical activity, fluid retention, consistency, individual response, and adherence to post-treatment recommendations.

The client acknowledges that no identical result is guaranteed for all clients, and that any images, testimonials, or examples shown are for illustrative purposes only and do not constitute a promise of results.

7.Post-Treatment Instructions

The client declares that they have received, or will receive, post-treatment instructions from the practitioner and commits to following them carefully. In particular, the client agrees to:

• strictly follow the post-treatment recommendations provided;

• avoid any behaviors contrary to the instructions received;

• promptly inform the practitioner of any unusual reactions;

• consult a physician in case of doubts, persistent symptoms, or non-ordinary conditions.

8.Refund Policy Declaration

The client acknowledges that, once the treatment has been performed or the agreed service has begun, no refunds will be issued, except where otherwise required by mandatory legal provisions or specific written agreements between the parties.

9 Final Declaration of Informed Consent

The client declares:

• that they have carefully read this form;

• that they have understood the content of the document;

• that they have received clear and sufficient information;

• that they have had the opportunity to ask questions;

• that they have received satisfactory answers;

• that they have provided true, complete, and up-to-date information;

• that they have provided true, complete, and up-to-date information;

• that they accept the execution of the Manuela Shala® Method treatment;

• that they accept the instructions and limitations set out in this informed consent form.

PRIVACY NOTICE AND SPECIFIC CONSENTS

Personal Data, Photographs, Audio and Video Processing Manuela Shala® Method

This document regulates the processing of the client’ s personal data within the framework of the client form and the Manuela Shala® Method treatment.

Personal data refers to information that identifies or makes an individual identifiable; the Data Protection Authority defines this as any information that allows the direct or indirect identification of the data subject.

Client Information

1. Types of Data Processed

For the purposes indicated in this document, the following data may be processed:

• personal identification data;

• contact data;

• client record information;

• information declared by the client for assessing treatment compatibility;

• information relating to any personal, physical, or health conditions declared by the client;

• before/after photographs;

• images, videos, or audio recordings;

• administrative and documentary data related to the service. Some of the requested information may relate to personal conditions or healthrelated data. The GDPR considers health-related data as special categories of personal data, subject to enhanced protection.

2. Purposes of Data Processing

Personal data may be processed for the following purposes:

1. compilation and storage of the client form;

2. preliminary assessment of the compatibility of the requested treatment;

3. execution of the Manuela Shala® Method treatment;

4. administrative, tax, and accounting management of the relationship;

5. protection of the rights of the owner, practitioner, or center;

6. possible before/after photographic documentation for company use, if authorized;

7. possible promotional, social media, training, or informational use of photos, audio, or video, subject to separate, specific, and explicit consent.

3. Legal Basis for Processing

The processing of personal data may be based, depending on the circumstances, on:

• the performance of pre-contractual or contractual measures requested by the data subject;

• compliance with legal obligations;

• legitimate interest in protecting the rights of the data controller or practitioner;

• the data subject’ s consent for specific purposes;

• explicit consent for any special categories of data, where necessary.

Consent for photos, videos, audio recordings, social media publication, commercial communication, or promotional use as specified in points 7, 8, and 10.

4. Methods of Processing and Data Retention

Data will be processed using both paper-based and/or digital methods, in compliance with the principles of fairness, lawfulness, transparency, data minimization, security, and confidentiality.

The data controller will adopt reasonable measures to prevent unauthorized access, improper disclosure, loss, alteration, or unauthorized use of the data. Data will be retained for the time necessary to fulfill the purposes for which they were collected and, where applicable, for the period required to protect the rights of the data controller or to comply with legal obligations.

Recommended retention period to be customized with a privacy consultant:

5. Disclosure of Data to Third Parties

Personal data will not be disclosed or communicated to third parties for purposes unrelated to the relationship with the client.

Data may be communicated, where necessary, to:

• authorized collaborators;

• administrative, tax, or legal consultants;

• technical service providers;

• parties authorized to manage IT systems;

• authorities or public bodies, where required by law. Data will not be sold or transferred to third parties for commercial purposes without specific consent.

6. Rights of the Data Subject

The client may exercise, within the limits provided by applicable law, the following rights:

• access to personal data;

• rectification;

• erasure;

• restriction of processing;

• objection;

• data portability, where applicable;

• withdrawal of consent, for processing based on consent;

• lodging a complaint with the competent supervisory authority. The Data Protection Authority (Garante Privacy) also provides guidance and forms for exercising the rights set out in Articles 15–22 of the GDPR.

7. Before and After Photographs of the Treatment

The client acknowledges that “before/after ” photographs may be taken for the purpose of documenting the treatment, monitoring its progress, and maintaining technical records within the client file.

The client also authorizes the center to use, publish, distribute, and share the aforementioned images for promotional, advertising, commercial, informational, training, editorial, and educational purposes, including publication on websites, social networks, printed and digital materials, without any financial compensation being due to the client. This authorization is deemed granted upon signing this informed consent form, unless subsequently revoked in writing.

8. Use of Image, Audio and Video

The client expressly authorizes the use of their image, voice, photographs, videos, audio recordings, and treatment results (including any “before/after ” images) by the center for promotional, advertising, social media, informational, training, editorial, commercial, and educational purposes, without territorial limitations and through any communication channel, including websites, social networks, printed and digital materials, and advertising content.

The client declares that they have been informed that such use will be carried out in respect of their dignity, decorum, and personal image, without in any way affecting the possibility of receiving the treatment.

This authorization is granted free of charge and for an indefinite period, unless revoked later in writing.

PRIVACY NOTICE AND SPECIFIC CONSENTS

Personal Data, Photographs, Audio and Video Processing Manuela Shala® Method

This document regulates the processing of the client’ s personal data within the framework of the client form and the Manuela Shala® Method treatment.

Personal data refers to information that identifies or makes a natural person identifiable; the Data Protection Authority includes in this definition any information that allows the direct or indirect identification of the data subject.

9. Prohibition of Unauthorized Audio, Video, and Photographic Recording by the Client

During the treatment, within the premises, and during any demonstrations, consultations, explanations, practical sessions, or training moments, the client, any accompanying persons, and any other individuals present are prohibited from taking photographs, audio recordings, video recordings, live streaming, phone recordings, image captures, screenshots, social media postings, or any other form of unauthorized recording.

This prohibition includes, by way of example:

• the ongoing treatment;

• the body or parts of the body of the client or third parties;

• the face of the practitioner, the client, or other persons present;

• technical explanations;

• manual techniques;

• the method;

• educational materials;

• the working environment;

• private conversations;

• personal data or confidential information.

Any audio, video, or photographic recordings may only be made by the client with prior written authorization from the owner or practitioner and, where other identifiable persons are involved, subject to obtaining their respective consent. The client agrees not to publish, share, forward, sell, transfer, or distribute any audio, video, or photographic content relating to the treatment, method, premises, practitioners, or other clients without prior written authorization. Violation of this prohibition may result in immediate termination of the treatment, removal from the premises, and the protection of rights through appropriate legal channels.

10. Privacy Consent Summary

By signing this document, the client declares that they have read, understood, and fully accepted all of the above, authorizing the processing of personal data necessary for the management of the client file and the execution of the requested treatment, including any special categories of data voluntarily provided for the purpose of assessing treatment compatibility.

The client also declares that they have been informed of the prohibition on making unauthorized audio, video, or photographic recordings within the facility.

Image Use Consent

The client authorizes the use of photographic images and/or video recordings exclusively relating to the treated area during the treatment process, including any “before/after ” content, for purposes of communication, promotion, and enhancement of the center ’ s activities, through printed materials, digital media, websites, and social networks.

The images will be used in respect of the client’ s dignity, decorum, and privacy.

11. Acknowledgment of Privacy Notice

The client declares:

• that they have received this privacy notice;

• that they have read and understood it;

• that they have received clear information regarding the processing of their personal data;

• that they are aware of their rights;

• that they have freely expressed their choices regarding photographs, audio, and video recordings.