Cancellation Policy
Upon scheduling, you'll be asked to provide a credit card number to guarantee your treatment,
Your credit card information will be securely stored in your history file.
To avoid cancellation fees, please cancel or reschedule at least 24 hours before your appointment.
If you cancel with less than 24 hours' notice, your credit card on file will be charged the cancellation fee of $50.
No-shows will be charged 50% of the service fee.
Monday appointments must be canceled or rescheduled by Friday.
Appointment Reminders:
We'll send you a text message reminder before your scheduled service.
It's your responsibility to manage your appointment even if the reminder system fails.
We appreciate your understanding and cooperation. Thank you for choosing Linda I. Sodoma, DO, PLC for your service.
Policy
1. have requested that the undersigned aesthetician at Life Care for Women perform the following procedure:
Hybrid Laser
2. There are risks related to the performance of this procedure. I understand and acknowledge that the risks that may occur in connection with this particular procedure may include the following.
- Discomfort and pain- I acknowledge that I will experience some discomfort during and after the procedure.
- Infection- Although rare, infection is a possibility any time a procedure is performed. I acknowledge and understand that although even more rare, it is possible for an infection to become a blood-borne wide spread infection.
- Allergic reactions- Although uncommon, I could possibly develop an allergic reaction to medicines or products applied to the treated area and that I could possibly develop an allergic reaction to any medications that me be prescribed to me. (If applicable)
- Bruising in the treated area is possible, especially if, within the last ten days I have taken aspirin or aspirin containing products, or other medications that "thin" the blood.
- Pigment changes (skin color)-During the healing process, the treated area may become either lighter or darker in color than the surrounding skin. This is usually temporary, but on a rare occasion, it may be permanent.
- Poor healing- The resultant open wound may require more than the usual one to three weeks to heal.
3. I recognize that this procedure is not an exact science and I acknowledge that no guarantees or assurances have been made to me as to the results that will be achieved. It is possible that multiple procedures may be required.
4. For the purposes of accurate record keeping in connection with the care and treatment which I am receiving and will subsequently receive at Life Care for Women, I hereby consent to have the clinic staff take before, during and after treatment close-up photographs of the involved area (s). These photographs shall be used for medical records only and shall be treated with the same confidentiality as the remainder of my record at the clinic.
I have been given an opportunity to ask questions about my Hybrid treatment and the risks and hazards involved, and I believe that I have sufficient information to give this informed consent. By signing below. I certify that I have read and fully understand the contents of this document and that I have received and understand all of the disclosures referred to herein. I certify that I am a competent adult of at least 18 years of age, or that if I am a minor under the age is 18, I understand that the consent of my parent/legal guardian having legal custody will also be required before treatment. I voluntarily consent and authorize that this procedure to be performed by a licensed Esthetician.