Get Hifu Consent Form

Filling out the Hifu Consent Form online is a straightforward process that ensures you understand the treatment and consent to proceed. This guide will help you navigate each section of the form with clarity and precision.

Follow the steps to complete the Hifu Consent Form effectively.

1. Click the ‘Get Form’ button to access the Hifu Consent Form and open it for editing.
2. Begin by entering your name in the designated field. Ensure that your name is spelled correctly, as it will be used for identification purposes.
3. Fill in your phone number and email address accurately. This information will be necessary for any correspondence related to your treatment.
4. Provide your occupation and age in the specified fields. This information helps the medical team understand your background.
5. Indicate whether you are pregnant or trying to conceive by selecting 'Yes' or 'No.' This is crucial for the safety of the treatment.
6. Answer whether you are currently undergoing treatment for any medical conditions. If yes, please specify the conditions to provide the medical team with important context.
7. State if you have any skin allergies. If applicable, detail these allergies in the space provided.
8. Review the section detailing the use of the Er:YAG laser, including understanding the risks, short-term and potential permanent effects, discomfort associated with procedures, exclusions from therapy, and need for multiple treatments.
9. Acknowledge your understanding of your financial responsibility for the treatment, including payment details and refund policy.
10. Sign the form in the patient’s signature field, confirming that you have read, understood, and agree to the terms outlined in the consent form.
11. Once all fields are completed, you can save your changes, download a copy for your records, print the form if needed, or share it as required.

Complete your Hifu Consent Form online today to take the next step in your treatment journey.