Laser Hair Removal

Laser Hair Removal

Consent Form & Pre/Post Care
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Laser Hair Removal Consent Form
I authorize Peachy Laser Lounge's clinical team to perform laser treatments on myself with Soprano Platinum HR. My eyes will be covered with laser specific eye wear or an opaque material to protect them from the laser/light. My eyes will be closed, and I will not attempt to remove the eye protection for the duration of the treatment.

I understand that complete clearing of my concern may not be possible and will depend on the type, age, and color of the lesion or hair. Multiple treatments will likely be needed to address my concern. I understand that immediately following my laser treatment there may be some redness, swelling, bruising, or discoloration depending on the type of treatment. I will be given complete instructions on how to prepare for my treatment and post care instructions for after my treatment.
I have provided my past and current health history including any medications.I consent to taking photographs during the course of my treatments to track my results.I am not pregnant or breastfeeding (female).I have not been & don't plan to be exposed to direct sun in the treatment area (including sunless tanners) for up to 72 hours.I am not currently taking any photosensitive medications.Client waves a 24 hour test patch. First time clients are encouraged to have a small skin test patch 24 hours before full treatment. The client may wave this procedure at own risk. *Applies only to Laser Hair Removal
I have been given the opportunity to ask questions about the procedure. My questions have been answered and I understand the information given to me. Contraindications to the performance of this procedure have been discussed in detail with me. I understand that the practice of medicine is not an exact science and acknowledge that no guarantees have been made to me concerning the results of such treatments or procedures.

I have read and understand all information presented to me before signing this consent form.
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Pre/Post Care Instructions

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Prior to Laser Treatment:

**PLEASE SHAVE AREAS TO BE TREATED 1-3 DAYS BEFORE YOU ARRIVE FOR YOUR APPOINTMENT**
- Please do not tweeze or wax areas you wish to have treated for 6 weeks prior to treatment.
- Avoid tan areas to be treated for at least 4 weeks prior to treatment.
- Avoid using self-tanning products for at least 4 weeks prior to treatment.
- Stop using glycolic acid and retinols 3-5 days prior to facial treatments.
- Stop using medications: Accutane 6 months / Tetracycline 3 months prior to treatment.
After Laser Treatment:
- Some redness and swelling in the area is normal after treatment and may feel similar to a slight sunburn sensation. This should resolve within 2 – 72 hours after treatment.
- We would like the heat to leave your body naturally, so until this happens avoid overly hot baths, hot tubs, and exercise.
- Apply minimum SPF 30 over the treated area and avoid direct sunlight for 72 hours.
Follow Up:
- Re-examination should be 6 - 8 weeks later, or when any new hair has grown in the treatment area.
- Depending on the determination of hair clearance, treatment parameters may be changed. With multiple treatments, increase the time intervals between treatment sessions(after the second one), to allow any new hair to grow in the treatment area. New growth will vary based on the body area(growth cycle) and on the individual patient (gender, hormonal problems, etc.)
If you have any questions or concerns, please email: peachylaserlounge@gmail.com or call: 778-867-2981
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Laser Hair Removal Consent Form

Pre/Post Care Instructions