And Treatment Consent Form 2025

1. Click ‘Get Form’ to open it in our editor.
2. Begin with the 'Proposed Treatment' section. Read the description carefully and initial to confirm your understanding of the treatment process.
3. Move to the 'Anticipated Benefit' section. Acknowledge that results may vary and initial here as well.
4. In the 'Risks and Complications' section, review potential side effects. Initial if you understand these risks, noting any medications that may increase bruising.
5. Proceed to 'Pregnancy and Neurological Disease'. Confirm that none of these conditions apply to you by initialing.
6. Review 'Limitations and Alternatives'. Understand other options available for wrinkle treatment before initialing.
7. 'Costs/Fees' outlines your financial responsibility. Initial after reading this section.
8. 'Follow-Up' requires your agreement for a follow-up appointment. Initial accordingly.
9. 'Photographs' allows for clinical images for scientific purposes. Initial if you consent.
10. Finally, sign and date at the bottom of the form, ensuring all sections are completed.

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