• Informed Consent: Dermaplaning

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  • Please read the following information and acknowledge that you understand and accept all provisions by signing below.

    I acknowledge and understand that while the goal of this treatment is superficial exfoliation and the removal of vellus hair (peach fuzz), I may receive added improvements such as reduction in the appearance of fine lines & temporary fading of pigmentation. I acknowledge that the Dermaplaning treatment is not an exact science and that no specific guarantees can or have been made concerning the expected result. I understand that the degree of improvement is variable and occasionally will see no visible improvement and another form of treatment may be required.

    I understand that this procedure uses a Dermaplaning blade, which is mildly abrasive therefore I will follow the explicit instructions of my skincare therapist.

    I have been advised of any alternative treatments which may address my primary concerns.

    I understand, that during the course of treatments, my skincare specialist may discover other or different conditions that may require additional procedures than planned. I understand that my skincare specialist may refer me to an appropriate medical care provider if necessary.

    I understand that with any treatment certain risks are involved and that any complications or side effects from known or unknown causes could occur.

    If I am prone to herpetic outbreaks, I understand that I may be advised to see a physician about appropriate prescriptions or supplements to control outbreaks prior to treatments.  Take medicine 1 week prior to appointment.

    I acknowledge that the success of my treatment depends on me and I have an obligation to follow the written and spoken instructions concerning pre and post treatment care in order to achieve optimal results.

    I understand multiple treatments are recommended to see optimal results. The cost of treatment has been disclosed to me and I understand that payment is due at the time services are rendered.

    I am over 18 years of age or have parental consent form signed and attached.

    I will call to inform my skincare specialists of any complications or concerns as soon as they occur.

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  • I have read the contents of this consent form carefully and I fully understand it. I have been given the opportunity for discussion pertaining to Dermaplaning treatments and all my questions have been answered to my satisfaction. I hereby release Dolce Medical Spa, Organic Salon & Salt Room and any of its employees against any and all liability associated with this procedure. I have been adequately informed of the risks and benefits of this treatment and wish to proceed with the Dermaplaning treatment.

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