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Laser Hair Removal Consent

Informed consent for laser and IPL hair removal with skin type, sun exposure, and medication screening

Subukan ang form na makikita ng iyong mga kliyente

Punan ang form na nakikita ng iyong mga kliyente — bawat field, bawat conditional question, bawat contraindication flag. Walang nasasave o napapadala.

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Laser Hair Removal Consent

Impormasyon ng Kliyente

Detalye ng Paggamot

Kasaysayan ng Kalusugan

Mga Panganib at Komplikasyon

Potential Risks and Complications:

- Redness, swelling, and a sunburn-like feeling for a few hours to days
- Blistering or crusting (uncommon)
- Hyperpigmentation or hypopigmentation — darker or lighter patches, usually temporary but occasionally lasting, more likely with a tan or darker skin types
- Paradoxical hair growth — new fine hair near the treated area, especially on the face and neck
- Scarring (rare)
- Eye injury if protective eyewear is not worn

Laser hair removal reduces hair; it is not permanent removal. A course of 6–8 sessions, 4–8 weeks apart, plus maintenance is typical. Avoid sun exposure and use SPF 30+ on treated areas for 2 weeks before and after each session.
Nauunawaan ko na ang mga resulta ay nag-iiba ayon sa kulay ng buhok, uri ng balat, at hormones, na ang kulay-abo, puti, pula, o napakahusay na buhok ay tumutugon nang masakit, at na ang maraming sessions at maintenance ay kinakailangan.
Nauunawaan ko na ang tanned o sun-exposed na balat ay lubhang nagpapataas ng panganib ng mga sunburn at pagbabago ng pigment at sumasang-ayon akong iwasan ang sun exposure at self-tanner bago at pagkatapos ng paggamot.

Pahintulot at Pirma

I voluntarily consent to laser or IPL hair removal treatment. I have been informed of the benefits, risks, alternatives, and potential complications, including the possibility of burns and pigment changes. I understand this is an elective cosmetic procedure and no guarantee of outcome has been made. I release the provider and practice from liability related to this treatment except in cases of negligence.
Kinikilala ko na nabasa at nauunawaan ko ang impormasyon sa itaas at nagbibigay ng aking informed consent.
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