Electrolysis Consent Form

Infection risk: Very rare. Electrolysis is very safe. Treatment can result in red, swollen and tender skin right after the treatment but settles within a few hours and this is expected.*

There is a risk of temporary skin scarring.*

Infection can develop if the client’s own bacteria is present on the skin.*

Unclean hands touching the treated area post treatment can lead to an infection.*

You are advised to refrain from touching the treatment site.*

There is a chance that during your treatment, you may develop temporary hyperpigmentation that will gradually disappear post treatment. *

I understand that the results are reliant on the accuracy of information I have provided regarding my medical history and my adherence to proper before and after care.*

I understand that the frequency and longevity of treatments is determined solely by my body’s natural hair growth and therefore not predetermined. *

Small red dots can develop in the area. If this does happen there is no reason for concern. These are “nature’s band-aid” the skin is healing underneath. If these dots do develop, do not rub, pick or scratch them. Allow the skin to heal. Once healed *

Occasionally bruising can occur, it will heal itself.*

Swelling may also occur. Apply a cool pack for 10 mins 3-4 times in the day until it subsides.*

Tenderness is rare but may happen and can last up to a few days. No treatment is necessary.*

Hyper or hypo pigmentation can occasionally occur mostly in darker skin types. This is temporary and usually resolves after the treatments are completed.*

Inflammation of the hair follicle may occur.*

There is a risk of temporary skin scarring.*

I do not have any of the contraindications preventing me from having my treatment .*

With any treatment risks are involved. Side effects from known or unknown cause may occur. i freely assume these risks.*

I will follow the pre and post procedure advise given and explained to me. Should I fail to follow the advice, I do not hold anyone accountable except myself. *

I have been advised not to touch the treated area, not to pick at scabs and to let them fall off on their own.*

I must keep the area cleanand use hydrating and soothing products.*

I must keep the area out of sun exposure and use a SPF 50 until fully healed.*

I acknowledge that I have read, understood and accept the terms above in regard to electrolysis hair removal treatment. *

I have had the opportunity to ask questions and that my questions have been satisfactory answered.*

I hereby consent to and authorize my technician to perform electrolysis hair removal treatments and related before and after treatment services on me. *

I agree to the terms & conditions*