Your laser treatment is part of an overall medical and/or cosmetic regimen. Maximum success is based on compliance with all of our recommendations including medication, changes in lifestyle and sun exposure. The final result of any cosmetic procedure is subjective. Aging is a progressive physiologic state. Most treatment programs offered involve set fixed intervals.
By signing below, I acknowledge and understand that the following topics have been discussed with me prior to any procedure being performed:
Potential benefits of the proposed procedure
Probability of success
Reasonably anticipated consequences if the procedure is not performed, if any
Possible Post-Procedure Experiences and Risks and subsequent healing period
o By signing below, I hereby indicate that I am not pregnant.