Laser Tattoo Removal Consent Form

Use this form to give your consent.

Laser tattoo removal consent form.

Medical skin laser sunshine coast information consent forms 6 sydney street nambour ph. Medical informed consent i consent and authorise salon name to perform laser tattoo removal treatment on me. The overall goal is to attempt. This procedure is performed by a certified and licensed physician or a laser technician who specializes in removal and tattoo related issues.

This disclosure is to help to inform you prior to your consent for treatment about the risks side effects and possible complications related to laser tattoo removal. Laser tattoo removal consent form. Laser tattoo removal procedure. I understand the following points and have had the opportunity to ask questions during my consultation.

Laser tattoo removal is always a complex and expensive procedure and unless an operator has your consent they are unlikely to conduct the procedure. The laser that will be used has been cleared for distribution by the fda for this use and lasers like this one have been in clinical practice for years. Laser tattoo removal works by targeting pigment colors in the skin s dermis the layer of skin between the epidermis and subcutaneous tissues. As a patient you have the right to be informed about your treatment so that you may make the decision whether to proceed for laser tattoo removal or decline after knowing the risks involved.

This detailed consent form is designed to provide you with the information needed to make an informed decision regarding laser tattoo removal hereinafter the treatment or treatments. Proceed for laser tattoo removal or decline after knowing the risks involved. Laser tattoo removal informed consent form tattoo consents are not only for those who want to have tattoos in their bodies but also for those who aim to remove the tattoo by undergoing a laser removal. The following problems may occur with the tattoo removal system.

After tattoo removal care laser tattoo removal is the only safe and effective procedure for removing unwanted tattoos. In relation to my treatment i have been advised as follows. This disclosure is to help to inform you prior to your consent for treatment about the risks side effects and possible complications related to laser. Informed consent for laser tattoo removal treatment patient name please print clearly.

I consent to and authorize glyn uren to perform multiple treatments of laser procedures on me.