Home
Forms Library
Glutathione consent form

Glutathione injection consent form 2025

glutathione consent form Preview on Page 1

See details

4.4 out of 5

44 votes

The document outlines the informed consent for skin whitening injections using compounded Vitamin C and glutathione via intravenous infusion. It details the benefits, risks, and alternative treatments, emphasizing that the procedure is not FDA approved and lacks substantial medical literature. The treatment requires a series of sessions for optimal results, with precautions to avoid sun exposure post-treatment. Patients are informed about potential side effects and costs associated with the treatment.

Here's how it works

01. Edit your glutathione consent form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send glutathione injection consent form via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out glutathione injection consent form with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the glutathione injection consent form in the editor.
Begin by filling in your personal information at the top of the form, including your name and date. This ensures that your consent is properly documented.
Read through the 'Reason/Benefits' section carefully. This outlines the purpose of the treatment and its potential effects. Make sure you understand this before proceeding.
In the 'Risks, side effects, and complications' section, acknowledge that you are aware of possible adverse effects. You may want to highlight any specific concerns you have.
Complete the consent statement by signing your name where indicated. This confirms that you have been informed about the treatment and agree to proceed.
Finally, ensure a witness signs the form as well, which adds an extra layer of validation to your consent.

Start using our platform today for free to easily fill out your glutathione injection consent form!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Is glutathione IV or injection?

Its a non-invasive and safe procedure, and can be administered as a shot (in the muscle) or through the vein (by IV or push). Those looking for the highest amounts of Glutathione will want to choose our iv options. It is recommended to start a course of weekly treatments for ideal results.

Can anyone take glutathione injections?

An antioxidant amino acid called glutathione helps to treat liver damage and skin lightening. It gets rid of free radicals in the body. But these injections are safe when given under the supervision of a trained medical professional. They may result in particular allergic reactions if they are performed incorrectly.

Who should avoid glutathione?

GLUTATHIONE TABLETS shouldnt be taken by people taking anti-psychotic drug and chemotherapeutic drug. Avoid drinking alcoholic beverages; the presence of alcohol in the stomach is one reason for your body to not fully absorb the whitening pill.

What medications should not be taken with glutathione?

Its generally recommended to avoid mixing glutathione with certain medications and substances that may interfere with its effectiveness or cause adverse reactions. Examples include certain antibiotics, chemotherapy drugs, and substances that increase oxidative stress, such as alcohol and recreational drugs.

What are the cons of glutathione injections?

Major side effects such as renal failure or blood poisoning may develop if a patient is given a dosage that is far higher than recommended. Apart from that, some other side effects that may occur if the dose supplied is greater than 5 grammes include: Nausea. Rashes, hives, or allergic responses on the skin.

consent form for glutathione injection

IV therapy Consent Form Injection consent form pdf Vitamin injection Consent Form Intramuscular injection Consent Form Vitamin C Injection Consent form Vitamin D Injection Consent form NAD injection consent form Glutathione injections

Key Facts About Whitening Injections Treatment

Skin Whitening and Detoxification

Not FDA Approved

Potential Side Effects

Treatment Frequency

Post-Treatment Care

Complementary Treatments

$50 No Show Fee

Skin Whitening and Detoxification

The treatment uses compounded Vitamin C and glutathione via intravenous infusion to achieve skin whitening and detoxification.

Not FDA Approved

Whitening injections are not approved by the FDA, and there is a lack of high-quality peer-reviewed literature supporting their efficacy.

Potential Side Effects

Possible risks include pain, bleeding, bruising, infection, scarring, and ineffective treatment outcomes.

Treatment Frequency

For optimal results, treatments should be done weekly initially, then spaced out to every 2-3 weeks and eventually every 4-6 weeks.

Post-Treatment Care

Patients are advised to avoid sun exposure and vigorous exercise for 1-2 days post-treatment to minimize complications.

Complementary Treatments

Using oral glutathione and other skin care products like sunblock and exfoliants can enhance the effects of the whitening injections.

$50 No Show Fee

Patients will incur a $50 fee or forfeit one treatment if they do not cancel their appointment within 48 hours.

Related forms

be ready to get more

Complete this form in 5 minutes or less

Get form

How much does a glutathione injection cost?

Glutathione injection price in India Generally, this price ranges from INR 13,000 to INR 40,000 per injection in India. Here in Sakhiya, it is INR 4000 INR 8000 per dose. In a nutshell, glutathione can be claimed as an immensely strong antioxidant that poses a huge impact on the health of our skin.

What is the protocol for glutathione injections?

Treatment Schedule Initially, injections may be administered more frequently, such as once or twice a week, to establish optimal glutathione levels in the body. Afterward, the frequency of injections may be reduced to a maintenance schedule, typically once every two to four weeks.

Who cannot take glutathione injections?

Pregnancy and -feeding: There isnt enough reliable information to know if glutathione is safe to use when pregnant or -feeding. Stay on the safe side and avoid use. Asthma: Do not inhale glutathione if you have asthma. It can increase some asthma symptoms.

Glutathione injection consent form 2025

Here's how it works

How to use or fill out glutathione injection consent form with our platform

Complete this form in 5 minutes or less

Got questions?

Is glutathione IV or injection?

Can anyone take glutathione injections?

Who should avoid glutathione?

What medications should not be taken with glutathione?

What are the cons of glutathione injections?

Key Facts About Whitening Injections Treatment

Skin Whitening and Detoxification

Not FDA Approved

Potential Side Effects

Treatment Frequency

Post-Treatment Care

Complementary Treatments

$50 No Show Fee

Skin Whitening and Detoxification

Not FDA Approved

Potential Side Effects

Treatment Frequency

Post-Treatment Care

Complementary Treatments

$50 No Show Fee

Complete this form in 5 minutes or less

People also ask

How much does a glutathione injection cost?

What is the protocol for glutathione injections?

Who cannot take glutathione injections?

waiver for glutathione injection

Try more PDF tools