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I agree to pay for my treatments on the day of the treatment.
I understand and agree that should my account not be paid in full on the day of treatment or fall
overdue into an arrears account, it will be forwarded to a debt collection agency, which may
incur interest or additional fees. I also understand that any commission payments that are
charged to Kaya Cosmedica as a result of my debt will be added to the balance of my outstanding amount.
I consent for the use of my photos for the use of patient
education and visual aid. I consent and understand that these pictures may be used in
publication through media channels including the Kaya Cosmedica website and social media
sites. Dr Khinda has explained that I may decline this opportunity if I wish.