11550 Jonesbridge Rd, Suite# 6, Alpharetta GA 30022
Email: info@cosmomedspaatl.com         Tel: (678) 829-7722

PLASMA FIBROBLAST SKIN TIGHTENING INFORMED CONSENT

  • Plasma pen cannot guarantee an exact shrinkage result due to skin elasticity and individual healing process. The skin type of every client is different, and the healing process may lead to some discoloration of the skin.
    (Microdermabrasion or skin rejuvenation) may be advised, after the healing process is complete.
  • After each treatment some swelling, or redness may occur. In some cases, there may be extreme swelling. Your specialist will give you appropriate advice to help reduce this risk. Throughout the treatment you may experience some discomfort, but your specialist will reassure you throughout to make you feel comfortable.
  • Since the treatment includes small burns to the skin, you may experience the smell of charring. This is perfectly normal.
  • You must adhere to the specialist’s aftercare advice given to you following your treatment. This is important and will reduce the risk of post procedural infection upon leaving the clinic. You must let the treated area heal properly. Avoid picking, plucking, or knocking as this will hinder the healing process and could make the treatment appear uneven thus requiring further work.



TO BE COMPLETED BY THE CLIENT:



WAIVER AGREEMENT:

THE UNDERSIGNED acknowledges that artist has explained the nature of all the above –noted treatment including the risks and dangers inherent therein.

I HEREBY CONSENT to performing the above-noted treatment procedures on me and in consideration of their so doing; I hereby release and forever discharge Cosmo Med Spa & Salon, from all claims, demands, damages, actions or causes of action arising out of the performance of the said treatment procedures, which I, my heirs, executors, administrators, or assigns can, shall, or may have. (NO REFUND ON ANY TREATMENT.)



Please answer YES or NO to the following questions. These details will then be discussed (in confidence) with your specialist.


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If you suffer from any of the above it is important that you notify your specialist who can take the necessary precaution to ensure you receive the best treatment to avoid any risks to your health.

I am aware that the treatment cannot be applied over the head, heart and neck.

I understand the importance of my accurate and complete medical history. I understand that withholding any medical information may be detrimental to my health and safety during and after the procedure. I understand that if there is any change in my medial history it is my responsibility to inform my specialist.