Client Consent to Hair Removal Using MediPro12 IPL

Form Template

This Client Consent to Hair Removal Using MediPro12 IPL Mobile App is used by dermatology clinics to provide information on MediPro12 IPL hair removal treatments and to capture the patient's signature for consent.

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This app outlines that this is an elective procedure and results will vary from person to person.

Use this consent form as part of intake procedure for intense pulsed light (IPL) hair removal treatments that impact skin and hair follicles while ensuring permanent hair reduction, similar to laser hair removal treatments. Use this app to help prevent patient allergic reactions on skin and be informed about post-procedure redness and understand there may be potential scarring in the treatment area.

  • Signature Capture
  • Submission Editing
  • Reference Data
  • Dispatch
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*The Capterra SoftwareAdvice ​and GetApp logos are a service mark of Gartner, Inc. and/or its affiliates and is used herein with permission.*

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