• Fractora/Forma/Plus/BodyFX/Lumecca

  • I understand that the Invasix/InMode is a device used for hair removal, skin rejuvenation, fractional skin resurfacing, skin tightening, body contouring, or cellulite treatment, of which I am consenting to be a patient receiving * treatment.

  • I understand that clinical results may vary depending on individual factors, including but not limited to medical history, skin type, patient compliance with pre- and post-treatment instructions, and individual response to treatment. 

    I understand that there is a possibility of short-term effects such as reddening, mild burning, temporary bruising and temporary discoloration of the skin, as well as the possibility of rare side effects such as scarring and permanent discoloration. 

    I certify that I have been fully informed of the nature and purpose of the procedure, expected outcomes and possible complications, and I understand that no guarantee can be given as to the final result obtained. I am fully aware that my condition is of cosmetic concern and that the decision to proceed is based solely on my expressed desire to do so. 

    I confirm that I have informed the staff regarding any current or past medical condition, disease or medication taken. 

    I consent to the taking of photographs and authorize their anonymous use for the purposes of medical audit, education and promotion. 

    I certify that I have been given the opportunity to ask questions and that I have read and fully understand the contents of this consent form. 

    I am fully aware that there is a 24 hour no show/cancellation policy 

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