CONSENT FOR CELLFINA CELLULITE REDUCTION Preview on Page 1

CONSENT FOR CELLFINA CELLULITE REDUCTION 2026

The document is an informed consent form for the Cellfina® cellulite reduction treatment, detailing the procedure, risks, alternative treatments, and post-treatment care. It explains how the treatment works using a micro-blade to release tissue causing cellulite dimples on the thighs and buttocks, outlines potential complications such as bruising and infection, and emphasizes the importance of understanding risks before proceeding. Patients are required to acknowledge their understanding and consent to the treatment.

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Click ‘Get Form’ to open the CONSENT FOR CELLFINA CELLULITE REDUCTION document in our editor.
Begin by reading the instructions carefully. This section outlines the purpose of the consent form and provides essential information about the Cellfina® treatment.
Fill in your personal details at the designated fields, including your name and contact information. Ensure accuracy for effective communication.
Review the risks associated with the procedure listed in the document. Acknowledge that you understand these risks by checking the appropriate box or signing where indicated.
Sign and date the consent section at the bottom of the form, confirming that you have read and understood all aspects of the treatment and its alternatives.
If required, have a witness sign and date their section to validate your consent.

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