ThermiVA Consent Form - Denver Plastic Surgery 2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by reviewing the introductory section, which outlines the procedure and your authorization for Dr. Folk or designated personnel to perform the treatment.
  3. Initial each item listed under the treatment areas to confirm your understanding and agreement regarding the objectives and potential outcomes of the procedure.
  4. Carefully read through the risks associated with the procedure. Ensure you understand each point before proceeding.
  5. Indicate your awareness of contraindications by initialing next to each condition that applies to you.
  6. Provide consent for clinical photographs by initialing where indicated, ensuring you understand their purpose in your medical record.
  7. Finally, sign and date at the bottom of the form, confirming that you have read and understood all information provided.

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