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Hyaluronidase consent form

Hyalase consent form 2025

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The document is a consent form for the injection of Hyaluronidase (Hyalase®), an enzyme that breaks down hyaluronic acid dermal fillers. It outlines the procedure, associated risks including trauma, allergic reactions, side effects, treatment failure, and infection complications. The client confirms understanding of these risks and agrees to proceed with the treatment after discussing their medical history with the clinician. The form also notes that dissatisfaction with results is possible and that follow-up treatments may incur additional charges.

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Versions	Form popularity	Fillable & printable
2019	4.3 Satisfied (27 Votes)

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Can I make my own consent form?

In the United Kingdom (UK), hyaluronidase (Wockhardt; Wrexham, United Kingdom) is a prescription-only medicine.

Where can I create a consent form?

Build and customise your online consent form SurveyMonkey provides a template to create an online consent form for media and entertainment, beauty and cosmetics, and other services, from photo release to tattoo consent forms. Choose a plan today that best suits your business budget.

Can you create your own consent form?

If you prefer to write your own consent document, you may do so, but be sure to include all required elements of informed consent.

What are the three requirements of a consent form?

To be valid, consent must be voluntary, informed, specific, current, and given by a person with capacity. Unless otherwise indicated, consent can be express or implied, written or verbal.

Does Hyalase need to be prescribed?

This type of consent form requires the client to disclose their skincare routine, medication use, and other relevant background info. It also requires the clients signature, which confirms their understanding and acceptance of the associated risks.