Get Refresh Dermatology Eclipse Micropen Patient Consent Form

Filling out the Refresh Dermatology Eclipse Micropen Patient Consent Form online is an essential step in preparing for your treatment. This guide provides clear and comprehensive instructions to help you complete the form with confidence and ease.

Follow the steps to successfully complete your patient consent form.

1. Press the ‘Get Form’ button to obtain the form and open it for editing.
2. Begin by reviewing the procedure description carefully. Understand the purpose of the Eclipse Micropen treatment and the expected outcomes.
3. Move to the side effects section. Familiarize yourself with the possible reactions following the procedure to set realistic expectations.
4. Review the contraindications carefully. Ensure none of the listed conditions apply to you, as they may affect your eligibility for the procedure.
5. Read the patient consent information thoroughly. This section outlines the variability in treatment results, the need for multiple sessions, and the understanding of potential complications.
6. Fill in the date field by inputting the current date.
7. Print your name clearly in the designated 'Print Patient Name' section.
8. Provide your signature in the 'Patient Signature' field to confirm your consent.
9. Ensure that the practice name, 'Refresh Dermatology,' is included where required.
10. Once completed, you can save your changes, download the document, print it for your records, or share it with your healthcare provider.

Take the next step in your treatment journey by completing your documents online today!