/ Consent Form 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by reviewing the 'Proposed Treatment' section. Initial each line to confirm your understanding of the injection process and its effects.
3. Move to the 'Anticipated Benefit' section. Here, initial to acknowledge that results may vary and follow-up treatments may be necessary.
4. In the 'Risks and Complications' section, read through potential side effects carefully. Initial to indicate you understand these risks.
5. Complete the 'Pregnancy & Neurological Disease' section by confirming none of these conditions apply to you with your initials.
6. Review the 'Limitations and Alternatives' section, initialing after understanding alternative treatment options available.
7. Fill out the 'Cost/Fees' section, ensuring you understand payment responsibilities and cancellation policies by initialing.
8. Finally, complete any follow-up agreements and authorize photographs as needed by providing your initials in those sections.

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