12. I believe that I have been well informed. Had the opportunity/resources to have a blood annaylsis done to see if I am a good candidate for the treatemnt. I understand that good results are expected, but the practices of medicine and surgery are not exact sciences. I understand that knowledgeable practitioners sometimes disagree as to the best methods of treatment to achieve desired results.
13. I understand that the success of the PRP procedure is dependent on my closely following all instructions. This includes but is not limited to, pre-operative and post-‐operative activities and precautions. I understand how to contact Medisthetics & Laser Clinic at 905 929 3134 by phone/Text Email: medistheticlaserclinic@gmail.com should I have any concerns.
14. I have read this consent and it was signed while I was not under the influence of medications, recreation subastances or alcohol that might alter my mental capacity to understand its contents.
15. I certify this form has been read or it has been read to me, the blank spaces have been filled in, and I understand its contents. I was given the opportunity to ask questions about PRP.
16. I have disclosed all information regarding past and present medical conditions, current medications and known drug allergies.
17. This procedure is offered to obtain the best results for the patient, I certify that no one has made any guarantee or warranty as to the final outcome or appearance that may be expected.
18. I acknowledge that I am responsible for payment of these services with no fee reimbursement regardless of procedure results. I understand the fee paid is for the procedure and not for an expected result. I understand that payment is due the day of my procedure. And a deposit is required for the upfront lab fees.
19. I have been given the opportunity by my Medical Technician to ask questions and all of my questions have been answered to my satisfaction.