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4550 W. 109th Street (I435 & Roe) First Floor Overland Park, KS 66211 Phone: (913) 888SKIN (7546) www.MirabileMD.com HydraFacial MD Consent Form Treatment Consists of: HydraFacial MD, Red/Blue.

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How to fill out the Hydrafacial Consent Form online

Filling out the Hydrafacial Consent Form online is a straightforward process that ensures your treatment experience is safe and well-informed. This guide will provide step-by-step instructions on how to accurately complete the essential components of the form.

Follow the steps to successfully complete your Hydrafacial consent form.

  1. Click 'Get Form' button to obtain the form and open it in your online editor.
  2. Begin by reviewing the treatment options listed at the top of the form. Ensure you understand that the treatment consists of HydraFacial MD, red/blue light therapy, lymphatic drainage therapy, and/or wet diamond aggressive abrasion. Initial the section to confirm your understanding.
  3. Next, locate the medical information section. Carefully read through the list of medical conditions and issues. Circle all that pertain to you to provide your provider with a clear understanding of your medical history.
  4. Proceed to the acknowledgements section. Here, you will find several statements regarding medication, health considerations, and the nature of the cosmetic procedure. Initial each statement to indicate your acknowledgment.
  5. After reviewing all statements, you will confirm that you have read the document and that your provider has adequately answered your questions. You will then need to provide your signature and date the form.
  6. Lastly, review your filled-out form for any inaccuracies before saving your changes. You will then have the option to download, print, or share the completed form.

Complete your Hydrafacial Consent Form online today for a seamless treatment experience.

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This consent form is valid for all future HydraFacial treatments. I will alert the staff If there are any future changes to my medical history. I understand and agree that all services rendered will be charged directly to me, and I am personally responsible for payment.

Refrain from waxing and using depilatories. You should also refrain from any type of exfoliating treatments, like those containing active enzymes or glycolic acids. Finally, do not use any topical product containing , such as , for at least 48 hours before your treatment session.

HydraFacial is an FDA-approved skincare treatment designed to “cleanse, extract, and hydrate,” says Paul Nassif, MD, a board-certified plastic surgeon in Beverly Hills. The goal, he says, is “optimum hydration and glow,” or, per HydraFacial's website, “The Best Skin of Your Life.”

Anybody can purchase the machine or perform the treatments. No medical education, advanced training or license is needed so every “med spa”, aesthetician, and nail salon can offer it.

Furthermore, potential long-term effects of HydraFacials include skin thinning, uneven skin pigmentation and age spots. Sensitive skin types, as well as those who have acne-prone skin should certainly avoid the treatment due to its potentially irritating nature.

Keep Your Face Dry You should not wash your face for about six hours after your treatment. You should also avoid taking a shower or engaging in intense exercise that will cause you to sweat. Keeping your face dry during this time will protect your skin and allow you to receive optimal results.

For those unfamiliar, the HydraFacial is a medical-grade resurfacing treatment that clears out your pores and hydrates your skin. It's offered across the country at licensed medical professional facilities, or where a certified HydraFacial esthetician is present.

HydraFacial Pre-Care Instructions: Avoid excess sun exposure, including tanning beds for 1 week before treatment, and use SPF 30 or greater daily to ensure coverage against UVB and UBA rays. Do not use any type of exfoliants 2 days before treatment. Refrain from any chemical peels or lasers for 2 weeks prior.

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