LHR (Laser Hair Removal), LFP (Laser Facial Peel), LCR (Laser Cellulite Reduction),  LVR (Laser Vein Reduction), IPL (Intense Pulsed Light), LTR (Laser Tattoo Removal), Collagen Remodelling/Skin Tightening, Sun spot / Brown spot removal, Skin tag removal, cherry hemangioma removal, other (please specify)

Mono-Brow, lip, chin, neck, face, ears, arms, fingers, chest, areola, abdomen, underarms, back, buttocks, bikini, thighs, lower legs, feet, and toes. Please write all that apply.

1. There is a risk of scarring 

2. Short term effects may include reddening, mild, temporary bruising or blistering. hyper pigmentation (browning) and hypo-pigmentation (lightening) have also been noted after treatment. These conditions usually resolve within 3-6 months, but permanent colour change is a rare risk. Avoiding sun exposure before and after the treatment reduces risk of colour change.

3. Infection: Although infection following treatment is unusual, bacterial, fungal and viral infections can occur following a treatment. This applies to both individuals with past history with herpes simplex virus, infections and individuals with no known history of herpes simplex virus infections in the mouth area.

4. Bleeding: Pinpoint bleeding is rare but can occur following treatment procedures. Should bleeding occur, additional treatment may be necessary.

5. Allergic Reactions: In rare cases, local allergies to tape, preservatives used in cosmetics of topical preparations have been reported. Systemic reactions(which are more serious) may result from prescription medicine.

6. I understand that exposure of my eyes to light could harm my vision I must keep the eye protection goggles on at all times.

7. Compliance with the aftercare guidelines is crucial for healing, prevention of scarring, and hyper-pigmentation.

There is also the possibility that other side effects or complications not presently known, recognised, described to you now or understand may develop now or in the future. A number of side effects, risks and complications can occasionally be seen.

These include, but not limited to the following complications. 

Each treatment, you may experience:

Redness around the follicle

Swelling around the follicle

Tingling or feeling numbness

The following risks, side effects, and complications are rare, however temporary:

Purpura (purple bruising)

Infection (picking area treated)

Pigment change (hypo, hyper)

Crusting/scab on ingrown hairs

New growth of treated hair (depending on previous hair removal methods)

Failure to improve 'quality of life', initial unsightly appearance

Interruption of daily life, work routine, home/family life or social life

ACKNOWLEGDEMENT

I understand that there are no guarantees and that Iam releasing The Mind Body & Soul from all liabilities.

My questions regarding the procedure have been answered satisfactorily.

I understand the procedure and accept all the risks

I hereby release The Mind Body & Soul and its employees from all liabilities associated with the above indicated procedure