• HAIR PRP (PLATELET-RICH PLASMA) CONSENT FORM

  • 1. Treatment Description

  • Platelet-Rich Plasma (PRP) therapy for hair involves drawing a small amount of your blood, processing it to concentrate platelets, and injecting the PRP into the scalp. PRP contains growth factors that may support hair follicle activity and improve hair density. PRP is considered a regenerative procedure, but results vary between individuals.

  • 2. Purpose of Treatment

  • The aim of PRP therapy is to improve hair thickness, reduce shedding, and stimulate hair growth. It is not guaranteed to stop hair loss or restore all lost hair.

  • 3. Potential Benefits

    • Possible increase in hair density
    • Possible reduction in hair shedding
    • Potential improvement in hair quality and scalp health
    • Minimally invasive procedure with short recovery time

  • 4. Risks and Possible Side Effects

  • I understand that PRP is generally well-tolerated, but may involve the following:
    • Pain, tenderness, or pressure at injection sites
    • Swelling, redness, or bruising
    • Temporary headache
    • Mild bleeding at injection points
    • Infection (rare)
    • Temporary worsening of shedding before improvement

  • 5. Treatment Limitations

  • I understand that:
    • Results vary and cannot be guaranteed.
    • Multiple sessions are usually required for optimal results.
    • Maintenance treatments may be needed.
    • PRP may not be effective for all types of hair loss.
    • PRP is not a substitute for medical evaluation of underlying causes of hair loss.

  • 6. Contraindications

  • I confirm that I have disclosed all relevant medical information, including:
    • Blood disorders
    • Autoimmune conditions
    • Active infection
    • Use of anticoagulant medication
    • Pregnancy or breastfeeding
    • Recent steroid injections
    • History of keloid scarring

  • 7. Alternatives to PRP

  • I understand that alternatives may include (but are not limited to):
    • No treatment
    • Topical or oral medications
    • Microneedling
    • Hair transplantation
    • Lifestyle or nutritional interventions (as advised by a clinician)

  • 8. Photography

  • I consent/ do not consent (circle one) to clinical photographs being taken for:

  • 9. Acknowledgement and Consent

  • I confirm that:
    • I have had the procedure explained to me.
    • I have had the opportunity to ask questions.
    • I understand the risks, benefits, and limitations.
    • I understand that results are not guaranteed.
    • I voluntarily consent to proceed with PRP treatment for hair.
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