• LASER HAIR REMOVAL CONSENT FORM

  • Please read and initial each statement.

    * I authorize Limitless Medspa Licensed Laser Hair Removal Technicians to perform treatments on me for Hair Reduction / Pigmented Lesions / Vascular Lesions / Skin Treatment / Nail Fungus / Warts / Other.

    * I understand that there is a rare possibility of side effects or serious complications including skin burns, permanent discoloration, and scarring. I am aware that careful adherence to all advised instructions will help reduce this possibility.

    * I understand the below list of short-term effects and agree to follow matching guidelines: 

    • Discomfort – during the procedure and shortly after, I might experience an itching/ tingling sensation which degree will vary per condition density and area sensitivity. A mild “sun-burn” sensation may follow for a couple of hours and will be reduced with application of cooling and soothing creams 
    • Erythema/edema – severity and duration will depend on the intensity of the treatment and the sensitivity of the area to be treated. This redness/swelling may be reduced with application of cooling and/or inflammatory creams 
    • Crusting over some dense pigmented areas – may take 5 to 10 days to flake off and it is important not to manipulate or pick which may otherwise lead to scarring 
    • Bruising if your skin is prone to it or over dense vasculated areas – may last several days


    * I understand that recent sun exposure or tanning of any sort is not aligned with the pre and/or post-care instructions and may increase the chance for complications.


    * The procedure, as well as potential benefits and risks, have been thoroughly explained to me and I have had all my related questions answered


    * Pre and post-care instructions have been discussed and are completely clear to me.


    * I understand that results may vary with each individual and acknowledge that it is impossible to predict how I will respond to the treatment and how many sessions will be required.


    * I consent to photographs being taken for the purpose of documenting my progress and response to the treatment and being kept solely in my medical record.

    * I consent to photographs being used for medical education or publication with applied discretion and not revealing my identity.

    * I agree to review the following laser pre-treatment compliance checklist along with my Physician and bring accurate and updated data, to the best of my knowledge.

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  • My signature certifies that I have duly read and understood the content of this informed consent form, and gave accurate information as to my health condition. 

    I hereby freely consent to SplendorX treatments.

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