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Jet Peel Consent Form Mobile App

This Jet Peel Consent Form app is used by dermatologists or medical spas to provide information on the various treatments offered and to receive and inform consent from patients for the skin care procedures. The app includes fields for patients to initial indicating consent to the procedure, risks and understanding of the treatment, as well as a signature capture field.

The app includes information about the different cosmetic skin treatments including vibradermabrasion, microdermabrasion, jetPeel, and chemical peel procedures and the benefits of them including to improve overall skin texture, fine lines like crow foot, pore size, and to reduce inflammation.

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

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Take a peek inside the Jet Peel Consent Form Mobile App

Included Features

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Included Fields

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

  • Ico statictext

    My signature below constitutes acknowledgement that:

  • Ico textbox

    I

  • Ico statictext

    consent to and authorize members of the (COMPANY NAME) to perform one of the following procedures...

  • Ico textbox

    Procedure elected is

  • Ico textbox

    Body Area

  • Ico textbox

    Those procedures involve the use of a different modalities to remove the top layers of the skin.

  • Ico textbox

    The nature and purpose of the treatment has been explained to me, and any questions I have regard...

  • Ico textbox

    I understand that the treatment may involve the risk of complications or injury from both known a...

  • Ico textbox

    I certify that I have read this entire consent and that I understand and agree to the information...

  • Ico statictext

    I agree to adhere to all safety precautions and regulations during the skin treatment.

  • Ico textbox

    I have received and understand the post care recommendations as follows: no sun exposure for 48 h...

  • Ico signature

    Patient Signature

  • Ico date

    Date

  • Ico signature

    Parent/Legal Guardian Signature

  • Ico date

    Date

  • ...and More!

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