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Smooth Beam Consent Form Mobile App

This Smooth Beam Consent Form mobile app is helpful for a dermatologist office or cosmetic center to help their patients be more informed about Smooth Beam skin care treatment and to receive consent before the procedure. Information covered in the app includes pre-treatment instructions, expected results of the non-ablative laser treatment, and post treatment care.

Smoothbeam 1450 nm Diode Laser is one method of treating wrinkles, scars, active inflammatory acne, and stimulation of collagen. Smoothbeam is FDA approved. A small clinical study was conducted on active acne after 4 treatments, 4 weeks apart. 2 months after the last treatment, the client saw a 70.5% reduction of acne lesions.

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

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Take a peek inside the Smooth Beam Consent Form Mobile App

Included Features

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Included Fields

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

  • Ico textbox

    I (name)

  • Ico statictext

    Smoothbeam 1450 nm Diode Laser treatment on me.

  • Ico statictext

    Pre-Treatment Instructions:

  • Ico checkbox

    Accutane: Client should be off Accutane for at least 6 months prior to treatment, and a small tes...

  • Ico checkbox

    Sun: 7 days of no active sunning or sunburn

  • Ico checkbox

    Active Ingredients: Stop Retin A (Tretinion) for 7 days before treatment

  • Ico checkbox

    Antibiotics: For photosensitivity reasons, client should be off topical antibiotics for 2-3 days ...

  • Ico checkbox

    Injectables: Client should wait 2 weeks after injectables on area (Juvederm, Botox, Restylane)

  • Ico statictext

    Expected Responses

  • Ico statictext

    Clinical endpoint is significant erythema (redness), slight to moderate edema (swelling), and mil...

  • Ico statictext

    End Treatment Result

  • Ico statictext

    Treatment should cease when desired clinical endpoint is achieved.

  • Ico statictext

    Post-Treatment Care:

  • Ico checkbox

    No sun for 7 days after treatment

  • Ico checkbox

    Use of a zinc oxide-containing sunblock of SPF 30 or higher is recommended

  • Ico checkbox

    Clients should be advised to avoid scrubbing or trauma to the area

  • Ico checkbox

    Resume use of topical agents when irritation resolves (usually 48 hours after skin calms down)

  • Ico checkbox

    could result in less than optimum results.

  • Ico checkbox

    I certify that I have read and fully understood this form and consent to the procedures referred ...

  • Ico checkbox

    treatments.

  • Ico checkbox

    By signing below, I acknowledge that I have read and understand all information presented to me b...

  • Ico signature

    Client Signature:

  • Ico date

    Date

  • Ico signature

    Technician Signature:

  • Ico date

    Date

  • ...and More!

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