Laser Hair Removal Consent Form

● Hair removal, whist permanent, is variable and results may vary. Most clients require a minimum of 10 treatments
● The treatment is most successful on clients with fair skin and dark hair
● Course hair responds better to treatment than fine hair,
light blonde, grey/white and red hair does not respond to treatment
● Facial hair takes longer to respond to treatment
● Clients with darker skin, who are treated at lower fluence will require additional treatments
● No guarantee has been made regarding growth of dominant follicles that may be triggered by hormonal changes, stress, illness, pregnancy and/ or other causes
● Regardless of precautions taken, I acknowledged that adverse effects may occur

● I do not suffer from epilepsy
● I am not tanned from any source, including sun exposure, fake tans and tanning salons
● I have not received melatonin injections within the last six months
● I do not have a history of cold sores or herpes in the area being treated
● I do not have a history of abnormal/keloid scarring
● I have not taken the drug Roaccutane in the last four weeks
● I have not used Retin-A in the past two weeks in the area being treated
● I will wear the protective eyewear provided whilst the laser is being operated
● I do not have any blood borne diseases such as HIV, hepatitis C, etc

Regardless of precautions taken, I acknowledge the possibility of an adverse reaction to laser and accept sole responsibility for any medical care that may become necessary.
DO NOT SIGN THIS FORM UNTIL YOU HAVE READ & UNDERSTOOD THE CONTENTS & ALL YOUR QUESTIONS HAVE BEEN SATISFACTORILY ANSWERED.
If 18 years and younger a parent/guardian must be present for consultation, your first treatment (optional) and sign a consent form.