• Light Therapy

    Consent Form
  • Date of Birth
     - -
  •  -
  • The purpose of light therapy is to treat skin conditions, improve circulation, reduce pain, and promote healing by using specific wavelengths of light.

    Possible Risks and Side Effects
    While light therapy is generally safe, there are some risks and side effects you should be aware of, including:

    Mild skin irritation or redness
    Sensitivity to light
    Temporary skin dryness or peeling

    Please inform a member of staff if you experience any discomfort during your session.

    Contraindications
    You should not undergo light therapy if you:

    Are pregnant or breastfeeding
    Have photosensitivity or take medications that cause sensitivity to light
    Have certain conditions, such as epilepsy, that may be aggravated by light exposure

     

     

  • Please read each section carefully and check the near box to acknowledge
  • I hereby release the company in which I am voluntarily seeking services from and waive on behalf of myself, my heirs, and any personal representatives and all causes of action, claims, demands, damages, costs, expenses, and compensation for damages or loss to myself and/or property that may be caused by any act, or misinformation both intentional or accidentally on this form as well as failure to follow post-care instructions after my service.

  • Date Signed
     - -
  • Should be Empty: