Release form for peel treatment

Release form for peel treatment

Download Release form for peel treatment




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Date added: 11.03.2015
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GLYSAL™ ACID PEEL CLIENT CONSULTATION AND RELEASE FORM. Please read carefully, complete, sign and date this form prior to your treatment. Name:

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A chemical peel is designed to improve the texture and appearance of your skin. Chemical peels and other skin treatments have been performed for many years The treatment you will receive is designed to exfoliate or remove dead skin cells on the outer It is impossible to pre-determine how much peeling will occur. 703 Rigby Lake Dr, Rigby, Idaho | Phone: (208) 745-0200. CONSENT AND RELEASE FORM. DERMASWEEP PEEL-INFUSION. Patient's Name (PRINT):

Chemical Peel Consent Form o do not use prescriptive topicals, abrasive scrubs or stronger exfoliants 3-5 days pre and post treatments. o no prolonged sun AUTHORIZATION & INFORMED CONSENT FOR GLYCOLIC PEEL or FACIAL Procedure: Glycolic Peel: This procedure includes washing of the face withto perform the chemical treatment we have discussed procedures, piercings, tattoos, permanent cosmetics, or other chemical peels or skin treatments that I CONSENT FORM. For GLYCOLIC, AHA, BHA, Enzyme,. & other Epidermal Peeling Procedures. Prior to receiving this treatment, I have been candid in revealing CosMedix/Results Rx Peel Consent Form to undergo the peel procedure. undersigned acknowledge the potential risks of a peel procedure and, except for 703 Rigby Lake Dr, Rigby, Idaho | Phone: (208) 745-0200. CONSENT AND RELEASE FORM. CHEMICAL PEEL. A chemical peel is not a cure for all skin

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