Microchanneling Consent Form

MicroChanneling is an elective procedure for cosmetic purposes only. I have had the opportunity to ask quewtions and undertand the nature, goals, limitations and possible complications of this treatment. I have had the opportunity to discuss alternative forms of treatment and understand results may vary.

While MicroChanneling treatments are safe and effective for most women and men, there are some people who will not be good candidates for treatment. Here is a  general contraindication:

• PregnancyIf you are prgnant or nursing you are advised to not receive any MicroChanneling treatments. To date there have been no studies conducted to see what effects theses treatment may have on an unborn child.
• Diabetesunstable diabetes patients should not be treated due to healing problems.
• Active Herpes Simplex in the treatment area treatment is possible once the outbreak is healed, however it may be advisable to take prescription strength antiviral medication to leep this condition in remission during the treatment areas.
• Dry skinif your skin is overly dry, you will need to start moisturizing and ensure the condition is under control prior to undergoing any treatment. 
• Any active inflammatory skin conditione.g. eczeme, psoriasis, infection, rash or any type od dermatisis at the time of the treatment site (because it may aggrivate the condition).

I hereby release ProCell Therapies from liability associated with my MicroChanneling treatment.