LASER HAIR REMOVAL FACILITY CERTIFICATE OF REGISTRATION APPLICATION INSTRUCTIONS 2026

1. Click ‘Get Form’ to open the application in our editor.
2. Begin by entering the full legal name of your facility in the 'FACILITY NAME' field.
3. Provide the facility's phone number, including area code, in the 'FACILITY PHONE NUMBER' section.
4. Fill in the facility's fax number, ensuring you include the area code as well.
5. Enter your email address in the designated field. Remember, this will be used for licensing communications.
6. Complete your current mailing address and physical address accurately. Note that a P.O. Box cannot be used for the physical address.
7. List the designated Laser Hair Removal Professional along with their certificate number.
8. Provide details for the Laser Safety Officer (LSO), including their name and relevant certification numbers.
9. Include information about your consulting physician and attach a copy of their written contract as required.
10. Select your type of ownership and complete any additional fields as necessary. Ensure all sections are filled out completely to avoid delays.
11. Finally, read and sign the statement of operator and LSO before submitting your application.

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