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  • Monalisa Consent Form - Southside Obgyn

Get Monalisa Consent Form - Southside Obgyn

MonaLisaTouchInformedConsent I request and authorize Dr. to perform a procedure on me using the MonaLisa Touch laser. Therapy using the Mona Lisa Touch laser is an appropriate treatment for vaginal/vulvar.

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How to fill out the MonaLisa Consent Form - Southside OBGYN online

Filling out the MonaLisa Consent Form online is an important step in authorizing your treatment with the MonaLisa Touch laser. This guide offers clear, step-by-step instructions to help you complete the form accurately and confidently.

Follow the steps to complete the consent form online.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. In the first section, you will need to enter your name along with the name of the physician who will perform the procedure. Make sure to verify the accuracy of both names before proceeding.
  3. Read the description of the procedure, including its nature, effects, and alternative treatment methods. Acknowledge that you have understood what is presented before proceeding to the next section.
  4. Indicate your understanding that the results of the procedure may vary and that no guarantees have been made. This is critical for ensuring you have realistic expectations.
  5. Sign and date the form in the designated areas, which signifies that you agree to the procedure and understand all associated information. If someone is signing on your behalf, ensure they fill in their name accordingly.
  6. Designate a witness to sign the form. This person must also date the form, as it adds an additional level of validation to the consent process.
  7. After completely filling out the form, review all entries for accuracy. Once confirmed, you may have the option to save changes, download, print, or share the completed form.

Begin completing your MonaLisa Consent Form online today.

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