Consent Form for Corrective Peel
I, consent to the treatment known as a corrective peel. The treatment has been explained to me, and I have had the opportunity to ask questions.
Prior to this treatment I have been candid in revealing any condition that may have a bearing on this procedure, such as cold sores, allergies, recent facial peels, surgery, use of retinol, Accutane or hormones.
The procedure may cause stinging and discomfort, usually lasting a short period of time. lt may also cause some redness. Occasionally some swelling may occur. The skin may peel and could continue to do so for up to one week.
I understand that there are potential risks and complications associated with any procedure. Although it is impossible to list every potential risk and complication, I understand that possible risks and complications from this procedure may include, but are not limited to, the following:
I understand that the results of the treatment vary with each individual, and are subject to change over time.
I have been informed that the corrective peel may be part of another aesthetic treatment such as Medical Cleansing, Quench and Vibraderm.
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Document Name: Consent Form for Corrective Peel
Agree & Sign