Dermapen™ Clinical  Treatment Consultation & Consent Form

Form Template

The Dermapen Clinical Treatment Consultation and Consent form was designed to be filled out before patients receive skin needling treatments.

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Language: English
Country: United States of America

Skin needling can treat a variety of skin conditions, including age spots, stretch marks, acne scarring and smoothing of fine lines and wrinkles. Instead of undergoing chemical peels, eyelid surgery, dermal fillers or LED skin rejuvenation, the Dermapen skin needling process offers minimal discomfort to patients with impressive, long lasting results.

Designed specifically for non-invasive cosmetic skin care using Dermapen treatments, the form contains 4 areas: general information and patient details, patient current health and photo log. Instead of using paper forms, skincare professionals that offer Dermapen skin rejuvenation services can gather all the necessary information using any smartphone or tablet. Using the Dermapen forms, skin care practitioners can determine if patients have previously experienced skin irritation with past services, gather more information about overall skin tone and skin health, and can determine what types of treatments the patient is best suited for.

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Don't take our word for it...

“I’m not a tech guy and I was able to pick this thing up in probably an hour, and actually start to build apps. I’ve done them over lunch when I’ve gotten frustrated with a process that didn’t exist in our company. So for non tech people who’ve got a problem, the support here is awesome and I’d recommend it to anybody, not just in our industry.”

Dave Kramer, PennLine Service

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