Signature for Laser Based Treatments
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Name *
I have received the documentation from True Skin, titled "Consent for Laser/Light Based Treatment,"  explaining to me the risks that are involved with any laser treatment and consent to accept treatment *
By signing below, I have read and understand all the information presented to me before consenting to treatment. And I have had all my questions answered. I understand the procedure and accept the risks.  I hereby release Dawn Kalin (individual), True Skin (the facility), and Dr. Steven Kohn (doctor) from all liabilities associated with the above indicated procedure. Please write your name and date (MM/DD/YYYY) *
By signing below, I understand and accept that any appointment that I cancel without proper 24 hour notice, or simply do not show up for may be subjected to a $45 cancellation fee. I also understand that if I am more than 10 minutes late for my appointment, I may need to be rescheduled. Please write your name and date (MM/DD/YYYY) *
By signing below, I understand that I must not be taking any antibiotics at the time of my treatment.  And that I must wait 10 days from the day I’m finished the medication before I can be treated.  Failure to obey this rule increases the chance of being burned.  *For Fractional and IPL Clients, I understand I must stop using any products containing Retin-A, 4 days before treatment. Please write your name and date (MM/DD/YYYY) *

I understand that with each treatment the laser is killing a small percentage of active hair only. I will need more than 1 package to be hair free. Each person, and each body part, responds differently to laser hair removal, and therefore we are not able to predetermine how many treatments will be needed. By signing below, I am acknowledging I understand the expectation.  Please write your name and date


 *
By signing below, I give consent for True Skin to use my before and after photos in their marketing without compensation. Please write your name and date (MM/DD/YYYY)
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