Pay After a Named-Product Candidacy Decision, Not Before
Some aesthetic practices sell prepaid treatment packages—a series of laser visits, a multi-cycle cryolipolysis protocol, or bundled neuromodulator and filler sessions—at package pricing. Payment can be taken at reception or online before a prescribing clinician has examined the buyer for the named product or device. That sequencing is a money term for future sessions placed before a candidacy decision. It is not, by itself, informed consent to a specific intervention.
A package contract is an exchange of money for future visits. Medical candidacy is a licensed clinician's decision whether the named product or device should be administered. When those two acts are collapsed—payment first, exam later—a later labeled contraindication or other no-treatment finding has whatever money term the contract actually wrote, which may be a blank all-sales-final sentence. This page maps that boundary. It does not rank clinics and does not tell you whether you are a candidate.
Under the American Medical Association (AMA) Code of Medical Ethics Opinion 2.1.1, informed consent is fundamental in both medical ethics and law. Informed consent is not an administrative waiver or an invoice signature; it is an ongoing communication process that culminates in a patient's authorization to undergo a specific, defined medical intervention. According to Opinion 2.1.1, a physician must personally assess the patient's capacity to make an independent decision, convey the nature and purpose of the recommended intervention, and transparently detail the burdens, risks, and expected benefits of all potential options—including the explicit option of forgoing treatment entirely. Consenting to a medical intervention requires evaluating that specific procedure; paying a commercial entity for an undifferentiated bundle of future sessions does not constitute informed consent.
This clinical boundary is reinforced by regulatory and industry standards. The U.S. Food and Drug Administration (FDA), in its consumer guidance on Aesthetic (Cosmetic) Devices, tells people considering any aesthetic procedure to talk with their health-care provider about benefits and risks associated with aesthetic devices and discuss whether they are a candidate; effects may be temporary, a procedure may not give the desired result, and there are risks with any device, including aesthetic devices. The American Med Spa Association (AMSPA) patient guide, a trade-association explainer rather than a statute, states that in most states patients must have an initial face-to-face consultation with a doctor, nurse practitioner, or physician assistant; that the treatment must be prescribed and supervised; and that a compliant med spa will schedule a consultation before the initial treatment because examining patients and diagnosing treatment is the practice of medicine. That is a process expectation, not a 50-state table and not a refund right.
flowchart TD
A["Patient considers a prepaid aesthetic package"] --> B{"Has a prescribing clinician already examined you for the named product or device?"}
B -- "No: exam still pending" --> C["Ask whether payment can wait until after that exam, or buy a single session"]
B -- "Yes: exam completed" --> D{"Did the clinician prescribe that named product or device?"}
D -- "No: generic voucher" --> E["Ask which labeled product or device the package actually buys"]
D -- "Yes: product named" --> F{"Does the written agreement say what happens if a clinician later declines that treatment?"}
F -- "Yes: money term exists" --> G["Read whether unused value is original-method refund, store credit, or rack-rate recapture"]
F -- "No: blank or all-sales-final" --> H["Medical unsuitability has no money term; delay payment, buy a single session, or walk away"]If a clinic asks you to pay for a treatment series during a reception intake or over an online booking portal before a licensed medical provider evaluates you for the named product, unused value after a later no-treatment decision is a contract question, not a federal refund formula. Adjacent pages on Aesthetic Consultation Workflow: Screening and No-Treatment Decisions and How to choose an injector: credentials, supervision, red flags, and what to ask. cover clinic intake SOPs and credential questions rather than prepaid money terms. If you are later turned away because a labeled contraindication or other medical reason was never asked before payment, the dispute that follows is a sequencing problem created by collecting money first.
Different 'I Want My Money Back' Situations
Disputes over aesthetic packages frequently collapse because clinic administrative staff and patients treat every refund request as an undifferentiated demand for money back. In commercial practice, 'all sales final' clauses are often invoked regardless of why treatment halted. Medical unsuitability, change of mind, unused leftover sessions, results dissatisfaction, and a later device substitution rest on different facts:
Medical Unsuitability (The Clinical Stop): The patient is willing to proceed, but a licensed clinician declines the named product or device. That stop may be a labeled contraindication (BOTOX Cosmetic infection-at-site or hypersensitivity; JUVÉDERM Ultra XC severe-allergy, Gram-positive protein, or lidocaine allergy; CoolSculpting Elite cryoglobulinemia, cold agglutinin disease, or paroxysmal cold hemoglobinuria) or another documented no-treatment reason that labeling does not list as a contraindication, such as a warning, pregnancy as a tell-your-doctor item, recent isotretinoin, or insufficient pinchable fat. Labeling is a treatment boundary. It is not a refund percentage.
Change of Mind (Buyer Remorse): The patient still may be a candidate, and no labeled stop has been documented, but they no longer want remaining sessions. The FTC Cooling-Off Rule can give three business days to cancel certain sales made at home, workplace, a dormitory, or a seller's temporary location, without needing a medical reason. It does not cover a package purchased after negotiations at the clinic's permanent address, or a sale made entirely online. Change of mind is a contract and consumer-law question, not a labeled contraindication.
Unused Leftover Sessions (Elective Cessation): The patient was treated as a candidate and used some visits, then has leftover prepaid sessions they do not use—for example after moving, or after deciding four of six laser-hair sessions were enough. No labeled stop has been documented. That is leftover commercial inventory, not medical unsuitability. Session-count physiology belongs on How Many Laser Hair Removal Sessions Do You Need?, not here.
Dissatisfaction with Aesthetic Outcomes: The patient received the named treatment, but the result was disappointing. FDA's Aesthetic (Cosmetic) Devices page states that a procedure may not always give the results you want, effects may be temporary, and there are risks with any device, including aesthetic devices. Results variation after a performed session is not the same dispute as never being a candidate.
Mid-Package Device or Technology Substitution: The patient bought a series named to a specific device, then the clinic substitutes another platform after downtime. That is a device-identity and consent question, not a labeled-contraindication refund. Ask it on MedDeviceRepair: Your Clinic Changed Lasers Mid-Package—What Should You Ask? rather than restating that worksheet here.
Collapsing those five situations into one non-refundable sentence hides the money term that actually matters for a medical stop. A clinician can also decline treatment for reasons that are not labeled contraindications. Some clinic policies already convert a medical stop into store credit or freeze unused sessions; those are contract terms, not proof of a federal medically-unsuitable refund. Store credit can be a reasonable remedy if the reader still wants another indicated service. Cash is not the only outcome this page can describe.
What the Label Actually Forbids: Worked Product Examples
Product labeling already names people who should not receive specific treatments. Those labeled exclusions are treatment boundaries. They do not, by themselves, order a clinic to refund a prepaid package. The examples below are public labeling for named products, not a complete contraindication catalog and not individualized candidacy advice.
Neuromodulators: BOTOX Cosmetic (onabotulinumtoxinA)
The FDA-approved Prescribing Information for BOTOX Cosmetic states two contraindications: section 4.1, known hypersensitivity to any botulinum toxin preparation or to any of the components in the formulation; and section 4.2, infection at the proposed injection site(s). Those are treatment stops. They are not a finding that injecting would be a crime, and they do not order a clinic to refund a prepaid package. Boxed warnings and other toxin labels are mapped on Boxed warnings and contraindications: what FDA injectable labels actually say. Pregnancy and breastfeeding statements in a Medication Guide are not the same as section 4 contraindications; those timing questions belong on Aesthetic Treatments During Pregnancy and Breastfeeding: What's Safe and What to Pause.
If infection is present at the proposed injection site, the label's section 4.2 stop applies to that visit. A front-desk policy that treats the stop as a late cancellation is a clinic money term, not an FDA refund instruction. Other neuromodulators have their own labels; this page uses BOTOX Cosmetic as a worked example, not a complete toxin catalog.
Hyaluronic Acid Dermal Fillers: JUVÉDERM Ultra XC
The JUVÉDERM Ultra XC Directions for Use contraindicate the device for patients with severe allergies manifested by a history of anaphylaxis or history or presence of multiple severe allergies; for a history of allergies to Gram-positive bacterial proteins; and for a history of allergies to lidocaine. The same DFU states that federal law restricts the device to sale by or on the order of a licensed physician or properly licensed practitioner. Those are treatment and sale-order boundaries. They do not, by themselves, order a clinic to refund a prepaid package.
FDA's dermal-filler consumer update states that fillers are not for everyone and may not be appropriate for people with certain conditions, such as bleeding disorders or some allergies, and advises working with a licensed health-care provider who explains risks and benefits before treatment. The device page tells patients to ask for the patient labeling to help determine whether the filler is appropriate, and that FDA-approved uses are for adults 22 years of age or older (over 21) for specified indications. The Ultra XC DFU separately warns that use at sites with an active inflammatory process or infection should be deferred until the underlying process is controlled—that is a warning to defer, not a section 3 contraindication. The same DFU warns that the product must not be injected into blood vessels because intravascular injection may lead to embolization, occlusion, ischemia, or infarction. Vascular occlusion, necrosis, and hypersensitivity are material filler risks, covered for patients on Dermal Filler Complications: What Is Normal, What Is Not, and When to Get Help. A clinician who declines filler because of a labeled contraindication, a DFU warning, or another medical reason is making a treatment decision. That finding is not a cash-refund percentage.
Non-Invasive Cryolipolysis: CoolSculpting Elite
The CoolSculpting Elite System User Manual states that localized skin cooling is contraindicated in patients who have cryoglobulinemia, cold agglutinin disease, or paroxysmal cold hemoglobinuria. The manual describes cryoglobulinemia as a high level of proteins that thicken in cold temperature; cold agglutinin disease as an autoimmune disease in which exposure of blood to cold temperatures leads to red-blood-cell death; and paroxysmal cold hemoglobinuria as a blood disorder in which a change from cold to warm temperatures leads to red-blood-cell death. Those three items are the labeled contraindications. They are not a federal unused-session refund.
Beyond those contraindications, the same manual warns about additional situations that can make treatment unsuitable or higher-risk, including impaired peripheral circulation, neuropathic disorders, impaired skin sensation, open or infected wounds, bleeding disorders or concomitant blood thinners, recent surgery or scar tissue in the area, hernia in or adjacent to the treatment site, and skin conditions such as eczema, dermatitis, or rashes in the area to be treated. Warnings are not the same legal category as the three listed contraindications. On its Non-Invasive Body Contouring Technologies page, FDA tells people considering body contouring to talk with their health-care provider and read the device manufacturer information to understand personal risk factors and whether the effect sought is reasonable, and that some complications may last a long time, become permanent, or require surgery to correct. That is a candidacy conversation, not a PAH-screening mandate and not a package-refund right. A CoolSculpting-specific complication discussed separately is CoolSculpting PAH Risk: What It Looks Like and Who Is at Risk. A licensed clinician who later declines CoolSculpting because of a labeled contraindication, a listed warning, or another medical reason is making a treatment decision. Package pricing for cryolipolysis is a different job, covered on CoolSculpting cost: what drives the price and how to compare quotes..
Microneedling and Energy-Based Devices
FDA's microneedling devices page, content current as of 2025-10-15, states that FDA has authorized microneedling devices to improve the appearance of facial acne scars, facial wrinkles, and abdominal scars in patients aged 22 years or older, and that the procedure may not be suitable for some people. The companion consumer update states that microneedling is not suitable for everyone, so it is important to talk with a health-care provider, and that procedures may not always result in the desired aesthetic outcome. This page does not invent a suitability table the live FDA pages did not extract. Device-by-device clearances are a different job, on FDA-Cleared Powered Microneedling Devices: SkinPen vs. Exceed vs. SkinStylus. Phototype fit of a cited study is on Does a Treatment Study Apply to Your Skin Tone? Questions for Consultation. Isotretinoin waiting-period evidence is on Isotretinoin (Accutane) and Aesthetic Procedures: The Waiting-Period Evidence. This page does not generalize energy or pigment evidence to Fitzpatrick IV–VI, and it does not tell you whether you are a candidate.
What the Cooling-Off Rule and Health-Studio Laws Actually Cover
When a patient is told that they are medically disqualified from receiving an aesthetic package but the clinic refuses to refund their prepaid funds, consumers frequently search online and discover references to statutory 'cooling-off periods' or gym membership refund laws. Unfortunately, invoking these consumer protection statutes without reading their exact statutory definitions creates profound legal misunderstandings.
The FTC Cooling-Off Rule (16 CFR Part 429)
16 CFR 429.0(a) defines a door-to-door sale as a sale, lease, or rental of consumer goods or services in which the seller personally solicits the sale and the buyer's agreement or offer to purchase is made at a place other than the place of business of the seller, with a purchase price of $25 or more at the buyer's residence or $130 or more at other covered locations. Place of business means the main or permanent branch office or local address of a seller (429.0(d)). Covered examples in the definition include the buyer's residence, workplace, dormitory lounges, and facilities rented on a temporary or short-term basis such as hotel or motel rooms, convention centers, fairgrounds, and restaurants. If the Rule applies, 16 CFR 429.1 requires a Notice of Cancellation stating that the buyer may cancel without penalty within three business days; the FTC consumer page states that the buyer need not give a reason and that the seller has 10 days to refund all money.
The term door-to-door sale does not include a transaction made pursuant to prior negotiations in the course of a visit by the buyer to a retail business establishment having a fixed permanent location where the goods are exhibited or the services are offered for sale on a continuing basis (16 CFR 429.0(a)(1)). A separate exclusion, 429.0(a)(4), covers sales conducted and consummated entirely by mail or telephone without other pre-delivery contact. The FTC consumer page restates that the Rule does not cover:
Sales made after completing negotiations at the seller's permanent place of business where the seller regularly sells the goods or services (16 CFR 429.0(a)(1); FTC consumer page). A prepaid package purchased at a clinic's regular address is generally outside this federal three-day right.
Sales made entirely online, by mail, or telephone (FTC consumer page; 16 CFR 429.0(a)(4) for mail or telephone without other pre-delivery contact).
A package sold at a hotel pop-up, convention booth, fairground, restaurant, or other temporary location can be inside the Rule if the dollar threshold is met and the buyer's agreement was made away from the seller's place of business. Neither that pop-up coverage nor the in-clinic exclusion is a medical-unsuitability statute. Some state laws give additional rights; this page does not census them.
California Health Studio Services Contract Law (Civil Code §§ 1812.80–1812.98)
In California, consumers facing rigid package policies often look to the Health Studio Services Contract Law. Under California Civil Code § 1812.85 and Department of Consumer Affairs (DCA) Legal Guide W-10, health studio contracts must grant a five-business-day right to cancel with a full refund within 10 days (excluding services already rendered). Furthermore, Civil Code § 1812.89 mandates that if a buyer dies or suffers a physical disability that precludes them from physically utilizing the facility—verified by a licensed physician—the buyer is entitled to an immediate, prorated refund of unallocated prepaid funds.
However, consumers overlook California Civil Code § 1812.81, which contains an explicit statutory exclusion:
"A contract for health studio services... does not include contracts for professional services rendered or furnished by a person licensed under Division 2 (commencing with Section 500) of the Business and Professions Code, or contracts for instruction at schools operating pursuant to the Education Code, or contracts for nutritional advice."
Division 2 of the Business and Professions Code is the healing-arts division. DCA Legal Guide W-10 restates that services provided by persons licensed in the healing arts, by nutritionists, and by Education Code schools are not subject to this law. The 1812.81 healing-arts carve-out is a hard limit this page must state rather than implying a California med-spa cooling-off right. Whether a particular contract is a health-studio contract is fact-specific: the exclusion covers professional services by Division 2 licensees, not every spa service on the same premises. A mixed gym-plus-aesthetics membership may sit closer to the health-studio definition than a named injectable series. This article does not classify any named business, and it does not treat 1812.89 as an automatic refund for an unperformed aesthetic series.
Florida Health Studio Statute (Florida Statutes §§ 501.012–501.019)
Florida Statutes section 501.0125 defines a health studio as any person engaged in the sale of services for instruction, training, or assistance in a program of physical exercise, or in the sale of services for the right or privilege to use equipment or facilities in furtherance of a program of physical exercise, and excludes an individual acting as a personal trainer. Section 501.017 requires covered health-studio contracts to include, among other things, penalty-free cancellation within 3 days exclusive of holidays and weekends with a refund, and a provision for cancellation if the buyer dies or becomes physically unable to avail himself or herself of a substantial portion of the services, with an unused-week refund formula, physician certification of disability, and a refund issued within 30 days. FDACS's Health Studios consumer page restates the three-business-day cancel, the physically-unable refund of unused time, and that studios must refund the unused portion within 30 days for valid reasons allowed under the law. That statute is about physical-exercise memberships. It is not a finding that a CoolSculpting, laser, or toxin package is a health-studio contract, and it is not a Florida-wide med-spa refund code. A mixed gym-plus-aesthetics membership may raise a different classification question than a named injectable series; this article does not decide that classification for any named business.
The FTC Cooling-Off Rule, California's Health Studio Services Contract Act, and Florida's health-studio law are not a federal medically-unsuitable-package refund. If a law actually covers the contract you signed, its own definitions control. If it does not, the money term is whatever the written package agreement says—or does not say—about a later no-treatment decision.
Pre-Purchase Worksheet: What to Have in Writing
Use this pre-purchase worksheet before paying. Columns are the question, which public document can answer it, what a complete written term contains, and what a blank, non-refundable, or we-will-see-on-the-day answer does not prove. Fictional rows are labeled hypothetical and are not real patient cases or named-clinic legal advice. This table does not prescribe a refund percentage.
| Question to Ask Before Paying | Governing Document or Standard | What a Complete Written Term Contains | What a blank, non-refundable, or we-will-see-on-the-day answer does not prove |
|---|---|---|---|
| Has a licensed prescribing clinician already decided candidacy for the named product or device, or is payment being taken first? | FDA Aesthetic (Cosmetic) Devices page; AMA Opinion 2.1.1; AMSPA patient guide (in most states, consult before initial treatment) | Named product or device; who already performed a licensed candidacy exam (doctor, NP, or PA) and when relative to payment; that informed consent is authorization for that specific intervention, not a bundle invoice. | A blank or we-will-see-on-the-day answer does not prove you are a candidate, does not create a federal refund, and does not make payment the same act as consent. |
| If a clinician later finds a labeled contraindication, is unused prepaid value returned to the original method, converted to store credit, or reduced by rack-rate recapture of used sessions? | BOTOX Cosmetic PI 4.1–4.2; JUVÉDERM Ultra XC DFU contraindications; CoolSculpting Elite IFU contraindications. Labels are treatment stops, not refund instructions. | Which labeled stop is in scope; whether unused value is original-method refund, store credit toward another indicated service, or unused sessions repriced at the non-package rate; any expiration of credit. | Non-refundable does not turn a labeled treatment stop into buyer remorse, and it does not invent a cash-refund percentage. |
| If the clinician declines for a warning or another medical reason that is not a listed contraindication, does the same money term apply? | CoolSculpting Elite IFU warnings (hernia, open or infected wounds, impaired circulation, recent surgery, eczema/dermatitis/rashes); JUVÉDERM Ultra XC DFU warning to defer active inflammation or infection; FDA filler and microneedling consumer pages (not for everyone). | Whether clinician judgment under warnings, pregnancy as a tell-your-doctor item, or recent isotretinoin is treated the same as, or differently from, a labeled contraindication. | A labeled-contraindication clause, if any, does not automatically cover every no-treatment decision. |
| How are already-used sessions valued if remaining visits are stopped for a medical reason? | The written package contract. Product labels and 16 CFR 429 do not set a recapture formula. | Whether remaining value is unused package-rate sessions, store credit, or a remainder after used visits are restated at the single-session (rack) rate, plus any administrative fee. | Silence lets a later rack-rate recapture wipe the unused balance. This row asks which formula is written; it does not prescribe one. |
| Was the sale completed at the clinic's permanent address, at a hotel/convention pop-up, or entirely online? | 16 CFR 429.0(a), (a)(1), (a)(4), and 429.0(d); FTC Cooling-Off consumer page. California 1812.81 and Florida 501.0125 only if the contract actually is a health-studio contract. | Venue; whether the clinic claims a three-day cooling-off right that 16 CFR 429 may not actually give for in-clinic or entirely online sales; whether a cited gym law matches the contract's definition. | A cooling-off or health-studio citation on an in-clinic injectable series does not prove that statute applies. |
| If pregnancy, isotretinoin, infection, or a cold-related blood disorder is discovered after purchase, who documents the no-treatment decision and what happens to remaining sessions and expiration? | Named-product labeling or IFU; written package contract; existing pregnancy, isotretinoin, and records articles for those clinical facts. | Who signs the no-treatment note; whether unused sessions freeze, expire, convert to credit, or follow the medical-stop money term; the expiration date. | A we-will-see-on-the-day answer leaves expiration and unused value unaddressed. |
| Fictional example: a four-cycle cryolipolysis series is sold at a promotional mixer before any cold-disorder screen. Were cryoglobulinemia, cold agglutinin disease, and paroxysmal cold hemoglobinuria asked before payment? | CoolSculpting Elite System User Manual contraindications for localized skin cooling; FDA body-contouring candidacy page. | Named device; whether a licensed clinician already screened the three labeled contraindications before payment; original-method refund versus store credit versus rack-rate if those contraindications later appear. | A non-refundable stamp on a pay-first mixer sale does not convert a labeled cooling contraindication into buyer remorse, and it does not create a federal cash-refund right. |
| Fictional example: a toxin-plus-filler package is sold online while injection-site infection and labeled allergy history remain unasked. | BOTOX Cosmetic PI 4.1–4.2 (hypersensitivity; infection at the proposed injection site); JUVÉDERM Ultra XC DFU contraindications (severe allergies/anaphylaxis, Gram-positive bacterial proteins, lidocaine) and the DFU warning to defer active inflammation or infection. | Whether those history items were asked before checkout; whether an online checkout changes the 16 CFR 429 analysis (generally uncovered if entirely online); the unused-value term if a clinician later declines. | An online promotional checkout does not prove a three-day federal cancel, and it does not prove a labeled allergy or infection stop was screened. |
The three hypotheticals below are labeled fictional. Dollar figures are illustrations, not typical prices. They do not find that any named clinic violated the law, and they do not prescribe a refund percentage.
Hypothetical Case 1: Cryolipolysis Series Sold Prior to Cold-Disorder Screening
Fictional: a consumer at an evening promotional mixer buys a four-cycle cryolipolysis package before any licensed exam. The receipt is stamped all sales final. Days later, at the first clinical intake, the nurse practitioner documents a history of cold agglutinin disease. Under the CoolSculpting Elite System User Manual, localized skin cooling is contraindicated in cold agglutinin disease. The clinician declines to apply the applicator.
Reception offers only store credit for retail skincare, citing the stamp. The written contract never said what happens to unused prepaid value after a labeled contraindication found after payment. That blank is the problem this worksheet is for. A complete term would name original-method refund versus store credit versus rack-rate recapture. This page does not draft a model clause, pick a percentage, or find that the clinic must refund.
Hypothetical Case 2: Toxin or Filler Package Sold Before Infection or Labeled Allergy Was Asked
Fictional: a patient buys an online promotional package of onabotulinumtoxinA plus hyaluronic acid filler before anyone asks about injection-site infection or labeled allergies. Entirely online checkout is generally outside the FTC Cooling-Off Rule. At the later in-person visit, the injector documents infection at the proposed injection site and a history of allergy to Gram-positive bacterial proteins.
BOTOX Cosmetic section 4.2 contraindicates infection at the proposed injection site; section 4.1 contraindicates hypersensitivity to any botulinum toxin preparation or formulation component. JUVÉDERM Ultra XC is contraindicated for a history of allergies to Gram-positive bacterial proteins; its DFU separately warns that use at sites with active inflammation or infection should be deferred. Those are product-specific stops. Applying the toxin PI as if it were the filler DFU, or the reverse, is a category error. If the online terms never asked those history items and never said what unused value does after a later decline, medical unsuitability has no money term. A 24-hour cancellation penalty is a clinic policy, not a labeled refund rule.
Hypothetical Case 3: Rack-Rate Recapture on a Partially Completed Laser Series
Fictional: a patient buys a five-session fractional laser package at a discounted package rate. After two sessions, the supervising dermatologist documents an adverse tissue response and declines remaining thermal sessions. That is a clinician no-treatment decision after some visits were performed. It is not the same as change of mind, and it is not the same as a mid-package device substitution.
If the contract is silent, the clinic may later restate the two completed visits at the higher single-session rate and return little of the unused balance. The worksheet question is whether that recapture formula was in writing before payment. This page does not choose the 'correct' remainder, does not award a dollar figure, and does not convert the blank into a chargeback script.
If the Contract Has No Medical-Unsuitability Money Term
If the written contract cannot say what happens when a licensed clinician later declines the named treatment, medical unsuitability has not been given a money term. Next questions only—this page does not choose for you, and it is not legal, chargeback, or candidacy advice:
Delay package payment until after the named-product consult? Ask whether a doctor, NP, or PA will complete a candidacy exam for the named product before any series is prepaid. AMSPA's patient guide says a compliant med spa schedules that consult before initial treatment in most states; that is a process expectation, not a 50-state table and not a refund statute. Clinic intake mechanics are on Aesthetic Consultation Workflow: Screening and No-Treatment Decisions. Consent-form contents are on Botox consent forms: what informed consent must cover and how to get it right and Off-Label Aesthetic Treatment Consent: Documenting Risk Clearly.
Buy a single session instead of a series? If the medical-stop money term is blank, a single visit limits unused prepaid value. Memberships and practice deferred-revenue accounting are different jobs, on Are Aesthetic Treatment Memberships Worth It? What to Check Before You Join and Med Spa Membership Programs: Accounting, Refund Risk, and Compliance. Device-price mechanics are on Why Aesthetic Device Treatments Cost What They Do — and Why Cheap Is a Red Flag.
Ask how a later medical stop will be documented? If pregnancy, isotretinoin, infection, or a cold-related blood disorder is discovered after purchase, who writes the no-treatment decision, and what happens to remaining sessions? Request existing chart contents on Requesting Aesthetic Records: Device Settings, Lot Numbers, and Limits. Do not self-treat, and do not treat a blank policy as a chargeback tutorial.
Clinical timing and modality risk stay on the existing pages: Aesthetic Treatments During Pregnancy and Breastfeeding: What's Safe and What to Pause, Isotretinoin (Accutane) and Aesthetic Procedures: The Waiting-Period Evidence, and How Many Laser Hair Removal Sessions Do You Need?. This page's job is the prepaid money term for a later no-treatment decision, not those clinical facts.
Sources
Aesthetic (Cosmetic) Devices — U.S. Food and Drug Administration (guidance on candidacy discussions, procedural limitations, and device risks).
Code of Medical Ethics Opinion 2.1.1: Informed Consent — American Medical Association (ethical standards for communicating risks, benefits, and the option of forgoing treatment).
A Patient's Guide to Medical Spas — American Med Spa Association (consultation requirements, supervising provider roles, and standard of care expectations).
BOTOX Cosmetic (onabotulinumtoxinA) Highlights of Prescribing Information — AbbVie / Allergan (FDA-approved labeling establishing contraindications for hypersensitivity and injection-site infection).
JUVÉDERM Ultra XC Directions for Use — AbbVie / Allergan (FDA-required labeling defining contraindications for severe allergies, Gram-positive bacterial proteins, and lidocaine).
CoolSculpting Elite System User Manual — AbbVie / Allergan Aesthetics (manufacturer user manual detailing contraindications for cryoglobulinemia, cold agglutinin disease, and PCH, alongside clinical warnings).
Dermal Fillers (Soft Tissue Fillers) — U.S. Food and Drug Administration (device safety overview, age authorizations, and patient labeling recommendations).
Dermal Filler Do's and Don'ts for Wrinkles, Lips and More — U.S. Food and Drug Administration (consumer guidance regarding bleeding disorders, allergy testing, and licensed provider oversight).
Microneedling Devices — U.S. Food and Drug Administration (regulatory clearance parameters, authorized indications, and patient suitability boundaries).
Microneedling Devices: Getting to the Point on Benefits, Risks and Safety — U.S. Food and Drug Administration (consumer update outlining suitability considerations and prescription status).
Non-Invasive Body Contouring Technologies — U.S. Food and Drug Administration (safety overview of cooling, thermal, and radiofrequency body contouring systems).
16 CFR § 429.0 Definitions (Cooling-Off Rule) — Federal Trade Commission / Electronic Code of Federal Regulations (statutory definition of door-to-door sales and permanent place of business exemption).
16 CFR § 429.1 The Rule (Cooling-Off Rule) — Federal Trade Commission / Electronic Code of Federal Regulations (cancellation notice requirements and three-business-day refund provisions).
Buyer's Remorse: The FTC's Cooling-Off Rule May Help — Federal Trade Commission (consumer guidance outlining location-based exclusions for permanent business premises and online sales).
California Civil Code Section 1812.81 — California Legislature (definition of health studio services contracts and explicit statutory exclusion for licensed healing-arts professional services).
California Civil Code Section 1812.85 — California Legislature (cancellation notice provisions and ten-day refund timelines for covered health studio contracts).
California Civil Code Section 1812.89 — California Legislature (statutory disability and death refund requirements for covered health studio contracts).
Overview of California's Health Studio Services Contract Law: Legal Guide W-10 — California Department of Consumer Affairs (administrative guidance restating the healing-arts exemption and cancellation mechanics).
Florida Statutes Section 501.0125 — Florida Legislature (statutory definition of health studios as enterprises offering physical exercise instruction or equipment access).
Florida Statutes Section 501.017 — Florida Legislature (cancellation provisions and disability unused-week refund formulas for covered physical exercise contracts).
Health Studios Consumer Guidance — Florida Department of Agriculture and Consumer Services (enforcement overview for physical exercise facilities and membership refund rights).




