Treatment Consent & Release
To the CLIENT: You have a right to be informed about your condition and its treatment, so that you may decide whether or not to undergo the procedure after knowing the risks and hazards involved. This disclosure is not meant to scare or alarm you; it is simply an effort to make you better informed so you may give, or withhold, your consent for treatment.
is not an exact science and no specific guaranties can or have been made concerning the expected result. I understand that some clients experience more change and improvement than others. In virtually all cases, multiple treatments are required in order to realize a difference.
I understand this treatment is a cosmetic treatment and that no medical claims are expressed or implied. Prior to receiving treatment, I have been candid in revealing any condition that may have bearing on this procedure, such as: pregnancy, recent facial surgery, allergies, tendency to cold sores/fever blisters, use of Retin-A, Accutane, or hormones.
I also realize that the following risks and hazards may occur in connection with any particular treatment including but not limited to: unsatisfactory results, poor healing, discomfort, redness, infection, change in the skin pigmentation, and allergic reaction. I understand that even though precautions may be taken in my treatment, not all risks can be known in advance. I understand though rare, sometimes complications may occur and that prompt treatment is necessary. In the event of any complications, I will immediately contact Joy who performed the treatment.
Given the above, I understand that response to treatment varies on an individual basis and that specific results are not guaranteed. Therefore, in consideration for any treatment received, I agree to hold harmless and release from any liability Joy, for any condition or result, known or unknown that may arise as a consequence of any treatment that I receive.