Laser Tattoo Removal Consent Form

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 consent form.

The following problems may occur with the tattoo removal system. The process behind the treatment is fairly simple. In relation to my treatment i have been advised as follows. Laser tattoo removal works by targeting pigment colors in the skin s dermis the layer of skin between the epidermis and subcutaneous tissues.

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

Informed consent for laser tattoo removal treatment patient name please print clearly. Proceed for laser tattoo removal or decline after knowing the risks involved. This consent form is valid for all future laser tattoo removal treatments performed and i will alert the. 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. Use this form to give your consent. 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 overall goal is to attempt.

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. I understand the following points and have had the opportunity to ask questions during my consultation. 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. Laser tattoo removal is always a complex and expensive procedure and unless an operator has your consent they are unlikely to conduct the procedure.

This procedure is performed by a certified and licensed physician or a laser technician who specializes in removal and tattoo related issues.