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HYDRAFACIAL MD CONSENT FORM

HydraFacial is the only hydradermabrasion procedure that combines cleansing, exfoliation, extraction, hydration  and antioxidant protection simultaneously, resulting in clearer, more beautiful skin with little-to-no downtime.  The treatment is soothing, moisturizing, non-invasive and generally non-irritating. As with most procedures, visible  results from HydraFacial will vary from person to person.  

What to Expect:

  • Your skin may experience temporary irritation, tightness, or redness. These are all normal reactions that  typically resolve within 72 hours depending on skin sensitivity.  

  • You may experience tingling and stinging in the treatment area. These sensations generally subside within  a few hours.  

  • Client experiences may vary. Some clients may experience a delayed onset of these symptoms.  

  • You will likely see results immediately after treatment and your skin may feel smooth and hydrated for one  to four weeks with appropriate home care to maintain treatment results.  

  • The skin is more susceptible to sunburn/sun damage. Avoid excessive sun exposure and use a minimum  of SPF 40 sunscreen. 

Do you have any of the following?
Have you recently… (saying yes does not necessarily preclude you from receiving treatments)
I acknowledge the following:

By signing below, I acknowledge that I have read the above information and give my consent to be  treated with the HydraFacial System. This consent form Is valid for all future HydraFacial treatments.  I will alert the staff If there are any future changes to my medical history.

Thanks for submitting!

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