I understand excessive sun exposure needs to be avoided prior to treatment. Do and don'ts after laser? Are you using contraception? Make it easy for your clients to fill out this laser hair removal consent form at home, at the reception desk, or in the procedure room. Treatment over moles or lesion of any kind. For non-emergency questions I will call Spa 35 at 208-367-0700, (for after-hours concerns selection option #4).
Breastfeeding- Women who are currently breastfeeding cannot use any analgesic agents (typically used for numbing the area prior to treatment). The medical providers at Spa 35 Med Spa have been delivering cosmetic services for thirteen years. Click on New Document and select the form importing option: upload Laser hair removal consent form from your device, the cloud, or a secure link. This is because younger teens' bodies are flooded with rapidly changing hormones. Home » About » Consent Form. Do you have any of the following medical conditions? We apologize for any inconvenience this may cause. Before Treatment Consent. Skin should be patted dry and NOT rubbed. Receive consent from your clients systematically using this Permanent Makeup Consent Form. Gratuities are accepted in the form of cash or credit card. I understand the purpose of this procedure is to remove unwanted hair. You can also download it, export it or print it out. Tight or rough clothing may cause you to feel uncomfortable if the skin becomes sensitive after treatment.
I understand the Inova Laser system is intended for hair removal and that clinical results may vary with different skin types, hair color, and body location. Please click on the links below to fill out the respective forms you will need for your visit. I understand that grey, blonde, red hair cannot be treated with the laser. We can also suggest great providers for those services. It's gentle to treat all skin types. As laser hair removal involves strong lasers, there are some risks involved, especially with specific clients.
Photographs: I give permission for my photographs to be used to help document my treatment course. During your treatment you can expect slight discomfort, similar to a rubber-band snap on your skin. MEDICATIONS: What oral medications are you presently taking? There are both risks, and potential complications associated with Laser Hair Reduction.
Complete removal of all hair follicles is unlikely. Syneron-Candela is a global non-surgical aesthetic device company. Draw your signature, type it, upload its image, or use your mobile device as a signature pad. It is common practice to tip after EACH treatment 15 - 20% of the original service price. Pregnancy and nursing. I confirm that I have read the pre-treatment and post-treatment instructions provided by Bared Monkey MedSpa Inc. and all its affiliated companies and I understand that it's my responsibility to follow these instructions and that my failure to adhere to these recommendations may result in complications and contraindications for which I am fully responsible. I understand that any area with a tattoo or permanent make-up cannot be treated. Permanent Makeup Consent Form. Scheduled treatment may be postponed if the patient is tanned. This eliminate the time consuming process of meeting with your client just to acquire their consent or even save time from the tedious but necessary process of getting consent by letting them fill up this form in their convenience. Laser Hair Reduction reduces hair growth using high energy light concentrated into the hair follicle. Streamline your process and improve the client experience with this template. Self-Tanner- Stop the application of self-tanner for four weeks prior to treatment. Prescription Medications – Review prescription medications with your provider for potential sun sensitizing effects.
Eliminating the need to scan or file paperwork frees up time for your staff to focus on clients. Fractional resurfacing. I also have completed an accurate medical history document and been informed about what I must do and "not do" before, during and after the series of treatments. Share your form with others. I certify that I have read the entire above Informed Consent and believe the Bared Monkey MedSpa Inc. and all its affiliated companies has adequately explained the risks of this therapy, alternative methods of treatment, and possible benefits from this treatment, and I hereby consent to the laser treatment to be performed by the technicians of Bared Monkey MedSpa Inc. and all its affiliated companies. All information is strictly confidential. Alternative Procedures –.
Tipping is not mandatory but it is customary in most circumstances for service. Blistering, scarring, activation of cold sores, infection or permanent discoloration, which may occur in rare cases. I understand that Step Up Skin Laser LLC is not responsible for any tattoo damages. If you make a skin care consultation you can use this skin care consultation form to make an appointment for follow up check up. I agree to conduct respectful, polite behavior with all staff. Don't use bleaching creams or perfume products for 24 to 48 hours. I have read and understand this agreement.
If you have a history of herpes simplex virus in the treated area, we recommend preventative therapy with an oral anti-viral medication. The nature and purpose of the treatment have been explained to me. Try to avoid wearing tight clothing for two or three days. Don't take our word for it... "I'm not a tech guy and I was able to pick this thing up in probably an hour, and actually start to build apps.
Simply print and fill out a form below before visiting us, so your appointment may begin on time. No makeup & lotion/moisturizer/deodorant for the first 24 hours. 2 weeks before: - Avoid sun exposure, tanning beds, self tanner such as creams or spray. Post Procedure Instructions –.
For optimal results, I should attempt to maintain the same skin tone throughout the treatment process. A full 24 hours notice must be received before your appointment. 5 Stars from 42 Reviews. I understand that this treatment is not meant to replace the necessity for a complete dermatological examination of suspicious lesions. So for non tech people who've got a problem, the support here is awesome and I'd recommend it to anybody, not just in our industry. I've done them over lunch when I've gotten frustrated with a process that didn't exist in our company. Epilepsy or those who have a history of seizures. It's recommended to apply Aloe Vera or Hydrocortisone1. For 7 days after treatment. You must check all of the applicable boxes, basically, stating that you understand any box you check. If you need your clients to fill out forms in-office, make it simple by setting up a few tablets in the waiting room. Today's advanced laser technologies allow estheticians to achieve precision when treating areas of the face, neck, and skin treatments may go by a number of names, including: Laser resurfacing.
Complete confidentiality will be maintained. Additional cosmetic procedures may be necessary to further tighten loose skin. Formstack's 100% mobile-responsive forms are fully functional from a computer, mobile phone, or tablet. 2, 260 reviews5 out of 5 stars. Editable General Liability Waiver, New Client Form Spa, Esthetician Business Planner.
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