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Collagen Induction Therapy (CIT) - Informed Consent Mobile App

Wrinkles, acne, acne scars, stretch marks and more – the list concerns patients have about their skin have goes on. These types of skin issues can drive patients to become self-conscious about their appearance and seek treatment.

One type of skin treatment that has been popular for reducing the appearance of scars, such as acne scars, is collagen induction therapy. Collagen induction therapy is a type of micro-needling treatment that stimulates the skin to produce more collagen. Skin needling is a fairly affordable procedure and is generally tolerable in terms of discomfort to the patient.

Informed consent is required prior to a patient receiving treatment. Rather than using paper forms to get a signature, you can now do this digitally with the Collagen Induction Therapy (CIT) - Informed Consent mobile app.

The Collagen Induction Therapy (CIT) - Informed Consent mobile app is intuitive and allows you insert as much information as you wish and to capture signatures. This is a great way to digitize and improve your processes. No more lost papers. All of the completed collagen induction therapy PDF's are saved to the GoCanvas Cloud.

  • Lendlease
  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

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Take a peek inside the Collagen Induction Therapy (CIT) - Informed Consent Mobile App

Included Features

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Included Fields

Customize to add, remove, or edit any of the fields below.

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    Last Name

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    First Name

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    Address

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    City

  • Ico textbox

    State

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    Post Code

  • Ico integer

    Telephone

  • Ico integer

    Mobile

  • Ico integer

    Work

  • Ico date

    Date of Birth

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    Gender

  • Ico textbox

    Emergency Contact

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    Emergency Phone

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    I authorize and consent to Collagen Induction Therapy (CIT) on myself for the purpose of skin rej...

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    I understand the following -

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    - Not adhering to the pre and post care instructions provided to me may increase the chance of co...

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    - Complications are rare however in the event of complications occurring all efforts will be made...

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    - Unprotected UV Sun exposure will increase my chance of complications and may alter my treatment...

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    Contraindications -

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    - Pregnant or lactating subjects

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    - Pacemaker, aarythmias or any other heart disorders.

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    - Roaccutane use in the last 12 months

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    - Diabetes or autoimmune disorders

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    - Blood thinning medications such as warfarin, asprin

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    - Clients with blood clotting disorders

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    - Smokers

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    - History of any type of cancer

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    - Impared immune system due to HIV

  • ...and More!

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