Skin Tag Removal Consent Form

I understand that I will receive a Cosmetic Skin Tag Removal. In this regard, by signing this form I understand and declare the following:

1. The risks of the treatment have been explained to me. I understand that this is purely a cosmetic procedure. 

2. There is no guarantee of the results of treatment. Improvement of the complaint is highly likely but may require a subsequent treatment for complete removal. As with any trauma or wound to the skin it will scab first & then appear pink in colour before returning to desired skin colour. I fully understand this may take months to fully restore skin tone & in some cases will never be invisible.

3. There is minimal risk involved in the treatment. However i acknowledge there is always a slim chance of scarring, infection and thickening of the skin. Should this occur, I might need to take some antibiotics as prescribed by a doctor or have subsequent treatment to improve the skin quality.

4. Post care procedures are necessary and requires your cooperation. I will follow the instructions given to me and make sure to keep any further recommended appointments for a check-up in order to observe the progress of the treatment made.

5. I consent to photographs being taken pre and post proceedure to document treatment.

I fully understand all of the above. I am aware & willing to proceed with treatment.

I have had the opportunity to ask questions and all of which were answered to me completely to my satisfaction. Alternative methods of treatment has been explained to me and I understand that I have the right to refuse the methods of treatments.

I hereby release the clinic & Jemma Jarman from any liability or damages which I may incur during or after treatment by which is associated with this procedure which I am to undertake.

Finally, I hereby certify that I am of legal age & in good health with full legal capacity to execute this consent.