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The document is a Dermapen™ Clinical Treatment Consultation and Consent Form, which serves as a template for practitioners to gather patient information, assess medical history, and obtain consent for treatment. It includes sections for personal details, skin concerns, allergies, medical conditions, medications, previous treatments, and understanding of the procedure. The form emphasizes the importance of informed consent and outlines the responsibilities of both the patient and practitioner.

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What is the basic esthetician consent form?

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What should a consent form include?

An esthetician consent form should include information about the specific esthetician services being provided, potential risks and side effects, client responsibilities, and a section where clients can indicate their understanding and agreement.

What should be on a facial consent form?

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.

What to include in a facial consent form?

1) What should be included in a skincare facial consent form? A skincare facial consent form should include fields for client information, such as name, contact details, and any relevant medical history.

How do you write a good consent form?

Informed consent language should be written in the second person (you), not in the first person (I). Minimize passive voice to the extent possible. Example of passive voice: A summary of results will be sent to all study participants. Example of active voice: We will send you a summary of the results.

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What are the guidelines for Dermapen?

Prior to Treatment: No auto-‐immune therapies or products 12 hours prior to your treatment. No prolonged sun exposure to the face 24 hours prior to your treatment. A Dermapen treatment will not be administered on sunburned skin. On the day of the treatment, please keep your face clean and do not apply makeup.