Aesthetic Procedure Package Contract Template

November 11, 2026 · 5 min read

A procedure package is a sale that stretches over time: the patient pays, uses it over weeks or months, and along the way life happens. Without a written rule, every change turns into an argument. The package contract records what was sold, under what conditions and what happens if something changes.

The template below is commercial and generic. It includes no price, product name, technique or promise of results. The clinical side (indication, risks, consent) stays in the documents for each procedure. For the strategy of building and selling packages, read procedure packages in facial harmonization and staged treatment plan.

When to use this template

Whenever you sell more than one session or more than one procedure with an agreed payment: a session package, a staged plan, a package with touch-ups included, or a plan paid upfront for future use. Sign it before the first payment, give one copy to the patient and keep the other with the patient chart.

How to adapt it

Describe the package by what it contains, not by the result it "should" deliver.
Make clear that the clinical plan may change: the indication is reassessed at each session and may be altered by the professional, with an agreed adjustment.
Define the validity and the consequence of expiry of the package, and say whether it can be extended.
Write the cancellation and refund policy in plain language, with clear deadlines and percentages. See the cancellation and no-show policy template.
Explain how the touch-up works: whether it is included, for how long and under what conditions. Read charging for touch-ups or not.
Take care with installment payments: amount, method, due date and what happens when payment is late. To understand the cost of installments, see the installment and fee calculator.
Have an attorney review it, especially the cancellation and refund clauses.

What can never be missing

Item	Reason
Identification of the parties	Who is buying and who is providing
Description of what is included	Avoids the idea of "all inclusive"
Amount, method and deadline of payment	Financial clarity
Number of sessions and validity	Limits use over time
Rule for rescheduling, no-shows and cancellation	Predictability
Refund or credit, with criteria	Avoids conflict on exit
Clinical reassessment and plan change	The plan may change with health
No guarantee of results	Aligns expectations
Personal data	Compliance with the LGPD
Jurisdiction and signatures	Validity of the document

Procedure package contract template

Template

SERVICES AGREEMENT: AESTHETIC PROCEDURE PACKAGE

PROVIDER: ________ (name of the clinic or professional), CNPJ/CPF ________, address ________, represented by ________.

CLIENT: ________ (patient's name), CPF ________, address ________, phone ________, email ________.

Clause 1. Purpose. The purpose of this contract is the provision of the following procedures, in ________ sessions: ________ (describe each procedure and the number of sessions). The package does not include: ________.

Clause 2. Assessment and clinical plan. The indication for each procedure is made by the professional after an individual assessment. The plan may be adjusted, reduced or suspended for clinical reasons, because of a change in the patient's health or for safety, and the PROVIDER will inform the patient of the change and of any adjustment to amounts or sessions, where applicable.

Clause 3. Price and payment. The total price of the package is R$ ________, to be paid as follows: ________ (down payment, installments, dates and payment method). In case of late payment, the following applies: ________.

Clause 4. Validity. The package is valid for ________ months from the date of signing. Sessions not used by the expiry date: ________ (for example, they expire, or may be extended by ________).

Clause 5. Scheduling, rescheduling and no-shows. Sessions are scheduled in advance. Rescheduling must be requested at least ________ hours ahead. A no-show without prior notice: ________. The PROVIDER may reschedule sessions due to force majeure or the professional's health, at no cost to the patient.

Clause 6. Touch-up and review. The package includes, when indicated by the professional, a review and touch-up under the following conditions: ________.

Clause 7. Cancellation, withdrawal and refund. The patient may withdraw from the package by written notice. Procedures already performed will be calculated at the value of ________. The balance will be refunded or converted into credit as follows: ________ (deadline and method). For contracts made away from the business premises, the patient may exercise the right of withdrawal within the period set by law.

Clause 8. Consent and risks. Each procedure depends on an assessment and on its own informed consent form, signed before it is performed. The patient states that they have been informed that every procedure carries risks and that results vary from person to person.

Clause 9. No guarantee of results. The PROVIDER delivers a service of means and does not guarantee a specific result. Illustrative images serve only to discuss possibilities.

Clause 10. Transfer. The package is personal and non-transferable, except ________.

Clause 11. Personal data. The PROVIDER will process the patient's personal and health data to deliver the service, keep the patient chart and meet legal obligations, in confidence, in accordance with Brazil's General Data Protection Law (LGPD). Use of images for other purposes requires separate authorization.

Clause 12. Venue. The parties elect the courts of the district of ________ to resolve any disputes.

Place and date: ________

Client's or legal guardian's signature: ________

Provider's signature: ________

Witnesses (optional): ________

What if the patient wants to swap a procedure in the package?

Record the swap in writing, in the contract itself or in an addendum, with the new description and any difference in price. Reassess the clinical indication before accepting: the fact that the patient paid for something does not oblige the professional to perform a procedure that is no longer indicated. To present the plan in a way the patient understands, see a quote the patient understands.

Frequently asked questions

Do I need a contract to sell an aesthetic procedure package?

There is no way to state a general obligation, but it is strongly recommended to have in writing what was purchased, the price, the sessions, the validity and the cancellation rules. This avoids conflict and documents the information given to the patient. Ask an attorney to review the text for your case.

Can the patient back out of the package and ask for a refund?

It depends on the contract, on what has already been done and on how the sale took place. Brazil's Consumer Protection Code provides a right of withdrawal for contracts made away from the business premises (art. 49), and other rules may apply. Set the policy in writing and have an attorney validate it.

Does the package contract replace the informed consent form?

No. The contract covers the commercial agreement (what, how much, when and how). Informed consent covers the risks and the clinical decision for each procedure, and it is still required before each one.

Terms mentioned

Informed consent in orofacial harmonization LGPD in facial harmonization Touch-Up in Facial Harmonization Patient record in facial harmonization