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Consent to Dermaplane and/or Chemical Acid Peel and/or Microdermabrasion Procedure for Cosmetic Purposes 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. I hereby request and authorize Patricia Giordano.

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How to fill out the Dermaplaning Consent Form online

The Dermaplaning Consent Form is essential for authorizing cosmetic procedures designed to improve your appearance. This guide provides clear instructions on how to complete the form online, ensuring a smooth experience.

Follow the steps to successfully fill out the Dermaplaning Consent Form online.

  1. Click ‘Get Form’ button to obtain the Dermaplaning Consent Form and open it in the editor.
  2. Read the introduction carefully, which outlines the purpose of the treatment and what you can expect. This section is important to ensure you understand the procedure.
  3. In the first section, provide your full name and any required identifying information. Ensure that the details are accurate for your treatment records.
  4. Acknowledge that you have understood the nature and effects of the treatment. You may be required to initial next to this acknowledgment.
  5. Review the provided information about guarantees regarding treatment outcomes, pain levels, and skin reactions. This is crucial for setting realistic expectations.
  6. Indicate any previous medical history, especially concerning herpes simplex outbreaks and medications like . This is important for your safety.
  7. Follow the instructions for pre-treatment and post-treatment care. Confirm that you will avoid specific treatments before and after your procedure by checking the appropriate boxes or initialing.
  8. In the section regarding sunscreen application, please agree to apply broad-spectrum sunscreen as advised by initialing the designated area.
  9. Acknowledge and read the list of conditions that cannot be treated with dermaplaning. Mark any that apply to your situation.
  10. Review the possible side effects of the treatment. Confirm that you understand these implications before proceeding with the form.
  11. Sign the consent form in the designated area to authorize the treatment. Ensure to date your signature correctly.
  12. If you are under the age of 18, a parent or guardian must also sign the form. Ensure they provide their signature and date as well.
  13. Once all sections are filled out, save your changes in the editor to ensure none of your information is lost.
  14. Download, print, or share the completed consent form as needed for your records or your practitioner.

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

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The downsides of dermaplaning There are a range of common side effects, including breakouts, risk of infection, redness or discoloration, and irritation. The procedure can be costly. The procedure only affects the top layers of your skin, so it isn't as effective as more intensive exfoliation treatments.

Dermaplaning isn't covered by insurance, and sessions can run between $150 and $250 each. Dermatologists say this treatment is effective for people looking to make their skin appear more youthful, smooth, and bright, but results typically only last three weeks.

Yes, dermatologists do often recommend dermaplaning. Check out what dermatologist, Mona Gohara, MD, associate clinical professor at Yale shares about dermaplaning: “It's like a turbo-charged exfoliator. It's a great addition for anyone who already exfoliates regularly.”

Contraindications of dermaplaning include: Current inflamed acne lesions; Skin cancer; Active cold sores; Uncontrolled diabetes; Dermatitis; Open skin lesions; Use of currently or in the past six months; and/or. The use of prescription retinol within a week of treatment.

Dermaplaning Contraindications Acne vulargis. Skin cancer. Uncontrolled diabetes. Open wounds/skin lesions.

A Dermaplaning Consent Form is designed to ensure that your client has been given all of the information about what the treatment involves, including the benefits and any associated risks. By signing the form your client is confirming their consent and permission to the treatment.

Dermaplaning is not a medical procedure, and medical insurance does not cover it. Costs can vary depending on a person's location, and providers will charge per treatment session.

You may consider dermaplaning if you have skin concerns such as: Acne scars. Actinic keratosis (scaly skin patches that can lead to skin cancer). Dull or dry skin. Peach fuzz (light, soft hair on your face). Skin damaged by sun exposure. Fine lines (wrinkles).

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