LASER HAIR REMOVAL CONSENT FORM
1. Treatment Description
I understand that laser hair removal uses concentrated light to reduce or remove unwanted hair by targeting the hair follicle. Multiple sessions are usually required for best results.
2. Expected Results
I understand that results vary depending on skin type, hair colour, hair thickness, and treatment area. Reduction of hair growth is expected, but complete or permanent removal cannot be guaranteed.
3. Risks and Possible Side Effects
I understand that common temporary side effects may include:
Redness
Swelling
Mild discomfort
Temporary skin sensitivity
I also understand that less common risks may include:
Blistering
Burns
Changes in skin pigmentation
Scarring (rare)
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I confirm that I have informed the practitioner of any medical conditions, medications,
or skin sensitivities that may affect treatment.
4. Pre-Treatment Requirements
I confirm that I have followed or will follow all pre-treatment instructions, including:
Pre-Treatment Instructions
Avoiding sun exposure, tanning beds, and self-tanners
Avoiding waxing, plucking, or threading the area
Shaving the area as instructed
5. Aftercare Requirements
I understand that after treatment I must:
Aftercare Instructions
Avoid sun exposure and use SPF
Avoid hot baths, saunas, and intense exercise for 24-48 hours
Avoid picking, scratching, or irritating the treated area
6. Medical Disclosure
I confirm that the information I have provided about my health, medications, and skin
history is accurate. I understand that failing to disclose relevant information may
increase risks.
7. Consent
I confirm that:
Consent Statements
I have had the procedure explained to me.
I have had the opportunity to ask questions.
I understand the risks, benefits, and alternatives.
I consent to receiving laser hair removal treatment.
Client Name:
Date of Birth:
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Address:
Email Address:
example@example.com
Phone:
Format: 00000000000.
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Client Signature:
Date:
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
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