Get Consent Form

Filling out the consent form online is a crucial step in ensuring you are fully informed about your ® Cosmetic treatment. This guide will walk you through each section of the form, enabling you to complete it accurately and efficiently.

Follow the steps to fill out the Consent Form online.

1. Click the ‘Get Form’ button to obtain the form and open it in your preferred editing tool.
2. Enter the patient’s name in the designated field, followed by the chart number and date. Make sure all information is accurate for your records.
3. Read the initial disclosure statement about the ® Cosmetic treatment carefully. After understanding the information, provide your initials in the specified space to indicate your acknowledgment.
4. Review the section regarding possible side effects and mark your initials again to confirm that you have been informed about these risks.
5. In the next section, indicate the name of the physician who will administer the treatment. Please initial to confirm your request for the procedure.
6. Understand that results vary and treatments may require repetition. Initial the corresponding section to affirm you comprehend this information.
7. Confirm that you agree with the statement regarding full disclosure and the opportunity to ask questions. Initial this section to finalize your understanding.
8. Sign where indicated as the patient and note the date. It is also important for the physician to sign and date the form.
9. After completing the form, ensure all data is accurate. Save the changes, and you may choose to download, print, or share the final document as necessary.

Complete your consent form online to proceed confidently with your ® Cosmetic treatment.