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1. The procedure is being performed for cosmetic reasons only and the treatment may not produce permanent results. No guarantees of any nature can be made as to the exact results of the procedure 2 While every precaution has been taken to prevent side effects they can and sometimes do occur. They may include mild discomfort, redness, swelling and colour changes such as hyper & hypo pigmentation 3 If skin lightening (hypo pigmentation ) or darkening (hyper pigmentation) occurs, it may take several months to resolve and in some cases may be permanent 4 Mild crusting and blistering may occur. Infection and scarring is a rare possibility and occurs in a small % of the population 5 I must not expose my skin to any form of tanning during treatment and 4 – 6 weeks prior to any treatment, this includes sun exposure and solariums. Spray tan must be completely removed prior to treatment but may be used in-between treatments 6 I must advise the clinic of any sun exposure I have had as it increases the risk of any possible side effects and the risk of hyper / hypo pigmentation 7 I must wear eye protection as instructed by the operator 8 I have read and received a copy of the Client Information sheet , after care instructions and a copy of this Consent Form 9 I agree that photos may be taken as part of my treatment record and remain confidential 10 The procedure has been explained to me and all my questions have been answered to my satisfaction 11 I accept all risks of treatment and consent to undergoing treatment 12 I accept that my pre-paid treatments are not transferable or refundable 13 I acknowledge that I have been recommended by the therapist to use Eden Laser Clinics’ soothing Gel, Post Laser Hair removal treatment and that the Eden Skin Products have been specifically formulated for optimum results. 14 I understand that using other products purchased elsewhere may not offer the same result and/or potentially irritate the treated area
I am NOT tanned from any source, including sun exposure, tanning lotions, spray tan, solariums etc.
I do NOT have a history of abnormal scarring
I have not taken the drug Roaccutane in the last 6 months
I have not had any deep chemical peels or laser resurfacing in the last 6 months
I am aged 18 years or over (otherwise guardian to sign)
I am not pregnant
Eden Laser Clinics have a 24 hour cancellation policy. If cancellation occurs less than 24 hours or the client does not show up for their prepaid appointment, this session will be forfeited. If this treatment is PAYG, the client is required to pay a 50% deposit for their next booking. Please do not sign this form until you have read and understand the contents. If you have any questions or concerns, please ask your therapist.
By signing below, you acknowledge you have read, understood and accept the terms and conditions outlined in outlined in Eden Laser Clinics treatment consent form, and all information you have supplied is true at the time of signing this form. If any of your medical or personal circumstances change, you must notify the clinic you attend immediately so we can update your file for future treatments.
