• Bio Mask Informed Consent

  • I,       give my consent for this aesthetic procedure to be performed by a Technician or Assistant.

  • I understand that specific medications or conditions are a contraindication for treatment:

    • Herbs and over the counter medications such as psoralen & St. John’s Wort can also cause sensitivity to light.

    You are NOT a candidate if you have any of the following conditions:

    • Epilepsy
    • Pregnant
    • Breast Feeding
    • Currently on photosensitive drugs
    • Currently taking Cortisone injections or any other type of steroid injections
  • Clear
  • Should be Empty: