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  • Hifu Consent Form

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Name: Phone Number: Email: Occupation: Age: Are you pregnant or trying to conceive? Y/N Are you being treated for any medical conditions? Y/N If so, please specify: Do you have any skin allergies?.

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In 2015, the FDA approved high-intensity focused ultrasound (HIFU) as a surgical tool for the destruction of prostate tissue (not explicitly for the treatment of prostate cancer).

Who Qualifies for HIFU? Ideal candidates for HIFU are those who have early stage (Gleason 6 or 7), low-grade cancer that is confined to the prostate, and that is visible on an MRI or ultrasound. A PSA level below 20ng/mL is also preferred.

High-intensity focused ultrasound (HIFU) uses high-frequency ultrasound energy to heat and destroy cancer cells in the prostate.

Avoid saunas and steam rooms. Skin irritants like Vitamin C, retinol products, benzoyl peroxide, salicylic acid, and glycolic acid can be resumed three days post-treatment. Use a daily sunblock to minimize irritation and maximize results, with an SPF 30 or higher and zinc oxide.

Is HIFU safe? HIFU Treatments is considered to be very safe and is performed by many trained medical professionals worldwide. Although rare, you may experience few side effects immediately after treatment, but they will resolve within 24 hours. These may include redness, slight swelling and tingling.

Exposure to the sun burns the skin and sunburned or (recently) tanned skin cannot be treated with HIFU. Also, all chemicals which irritate the skin should be avoided as this may prevent treatment. If you are on antibiotics, you may have to stop your medications if you are considering taking the HIFU skin treatment.

Exposure to the sun burns the skin and sunburned or (recently) tanned skin cannot be treated with HIFU. Also, all chemicals which irritate the skin should be avoided as this may prevent treatment. If you are on antibiotics, you may have to stop your medications if you are considering taking the HIFU skin treatment.

Avoid sun exposure and sunless tanning. Sun burned or tanned skin will not be treated. All skin irritants must be stopped (glycolic/ salicylic acids, benzoyl peroxide, retinol products such as , , , , and Vitamin C) on the area being treated Advise staff when taking antibiotics.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232