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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.

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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.

My signature below constitutes acknowledgement that:
I
consent to and authorize members of the (COMPANY NAME) to perform one of the following procedures...
Procedure elected is
Body Area
Those procedures involve the use of a different modalities to remove the top layers of the skin.
The nature and purpose of the treatment has been explained to me, and any questions I have regard...
I understand that the treatment may involve the risk of complications or injury from both known a...
I certify that I have read this entire consent and that I understand and agree to the information...
I agree to adhere to all safety precautions and regulations during the skin treatment.
I have received and understand the post care recommendations as follows: no sun exposure for 48 h...
Patient Signature
Date
Parent/Legal Guardian Signature
Date
...and More!