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Patient Consent *

I understand that I am consenting to undergo laser hair removal, a procedure that uses concentrated light to target and destroy hair follicles. I understand that multiple treatment sessions are required to achieve the desired results, and that results can vary depending on individual factors, including skin type, hair color, and hormonal influences. I understand that touch-up treatments may be necessary in the future to maintain results. The specific laser used for my treatment will be [Practitioner to insert laser type here]. The number of treatments I will require is estimated to be [Practitioner to insert estimated # of treatments].

I understand that laser hair removal has potential risks, including but not limited to: · Skin irritation: Redness, swelling, itching, or discomfort in the treated area. · Pigment changes: Temporary or permanent lightening or darkening of the skin. · Blistering: Rare, but possible, especially in individuals with darker skin tones. · Scarring: Extremely rare, but possible. · Eye injury: If proper eye protection is not used during the procedure. · Infection: Risk of infection if the skin is not properly cared for after treatment. I also understand the potential benefits of laser hair removal, including: · Reduced hair growth: Significant reduction in hair density and thickness in the treated area. · Long-lasting results: Hair reduction can last for months or years, with maintenance treatments. · Improved skin appearance: Reduction in ingrown hairs and smoother skin texture. · Increased convenience: Elimination or reduction of the need for shaving, waxing, or other hair removal methods.

I have been instructed to follow these pre-care instructions: · Avoid sun exposure for at least 4–6 weeks prior to treatment. · Do not use tanning beds, self-tanners, or tanning sprays for at least 2–4 weeks prior to treatment. · Shave the treatment area 12–24 hours before the appointment. Do NOT wax, pluck, or use depilatory creams. · Avoid using harsh chemicals, such as glycolic acid or retinoids, on the treatment area for at least 1 week prior to treatment. · Inform the practitioner of any medications I am taking, including over-the-counter medications and supplements. · Inform the practitioner of any history of herpes simplex (cold sores) in the treatment area. Prophylactic antiviral medication may be required. · Do not apply lotions, creams, makeup, deodorant, or other topical products to the treatment area on the day of the appointment.

I have been instructed to follow these post-care instructions: · Avoid sun exposure for at least 4–6 weeks after treatment. Use a broad-spectrum sunscreen with an SPF of 30 or higher on the treated area daily. · Avoid hot showers, saunas, and strenuous exercise for 24–48 hours after treatment. · Apply a cool compress to the treated area to reduce redness and swelling. · Avoid picking, scratching, or rubbing the treated area. · Moisturize the treated area with a gentle, fragrance-free lotion. · Do not wax, pluck, or use depilatory creams on the treated area between treatments. Shaving is permitted. · Contact the practitioner immediately if I experience any signs of infection, such as increased pain, redness, swelling, or pus.

I have read and understand the information provided in this consent form. I have had the opportunity to ask questions and have received satisfactory answers. I voluntarily consent to undergo laser hair removal. I understand that results are not guaranteed and that multiple treatments are required.

This consent form outlines the details, risks, benefits, and pre/post-care instructions for laser hair removal. By signing, you acknowledge that you understand the procedure and its implications and agree to proceed with treatment.

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