I confirm that to the best of my knowledge the health history that I have supplied is correct and that there is no other medical information I need to disclose.
I further understand that withholding any medical information may be detrimental to my health and safety during the treatment in which I agree to undertake.
I understand that if there is any change in my medical history, it is my responsibility to advise the practitioner before further treatments are carried out.
I have been informed in detail and understand possible risks, conditions, reactions, side effects associated with the treatment and I understand that the development of any reactions/side effect must be reported to the practitioner as soon as possible.
I understand I may require a series of treatments to achieve the maximum cosmetic result.
I certify that I will make available where possible any follow-up visits as my practitioner advises if required – approximately 2-6 weeks.
The effects of treatment will vary with some patients than with others and I accept and understand that the goal of this treatment is improvement, not perfection, and that there is no written, implied, or verbal guarantee that the anticipated results will be achieved.
I have understood and agree to follow above post treatment advice given in the form of a leaflet in the knowledge that deviation can cause a disappointing result and, in some instances, can pre-dispose me to side effects and reactions to treatments.
I understand that pre and post-treatment photographs will be taken and that these will be used for assessment reasons. I can confirm these images are taken with my knowledge and I consent to them being placed in my file.