The Aesthetics Consent Form Template UK is offered in several formats, including PDF, Word, and Google Docs, and features customizable and printable examples.
Aesthetics Consent Form Template UK Editable – PrintableSample
Aesthetics Consent Form Template UK 1. Client Information 2. Practitioner Information 3. Treatment Details 4. Medical History 5. Treatment Risks and Benefits 6. Aftercare Instructions 7. Consent to Treatment 8. Confidentiality and Data Protection 9. Cancellation Policy 10. Declaration and Signatures
PDF
WORD
Examples
[Name of the Client]
[Client’s Date of Birth]
[Client’s Address]
[Client’s Phone]
[Client’s Email]
The undersigned consents to undergo the following aesthetic procedure: [Specify the procedure, e.g., dermal fillers, Botox injections]. The purpose of this procedure is to enhance one’s appearance, and it may involve temporary or permanent changes.
The potential benefits of the procedure include [List benefits, e.g., improved skin texture, reduced wrinkles]. However, it is important to be aware of possible risks, such as [Outline risks, e.g., swelling, bruising, allergic reactions].
Prior to the procedure, clients are advised to [Outline specific instructions, e.g., avoid blood thinners, disclose any allergies, skincare products to avoid].
Following the procedure, the client agrees to adhere to the following post-treatment care guidelines: [List guidelines, e.g., avoid sun exposure, refrain from strenuous activities, follow-up appointments].
I hereby confirm that I have read and understood the information provided above. I have been given the opportunity to ask questions and am satisfied with the explanations given regarding the nature, purpose, benefits, and risks associated with the procedure.
[Signature of the Client]
[Name of the Client]
[Name of the Client]
[Client’s Date of Birth]
[Client’s Address]
[Client’s Phone]
[Client’s Email]
I voluntarily consent to receive the following aesthetic treatment: [Specify treatment, e.g., laser hair removal, chemical peel]. The aim of this treatment is to [Describe the goal, e.g., improve skin tone, remove unwanted hair].
The anticipated outcomes include [List expected results, e.g., smoother skin]. I acknowledge the risks involved, which may involve [Describe possible risks, e.g., discomfort, pigmentation changes].
Clients are recommended to [Identify recommendations, e.g., arrive without makeup, refrain from alcohol consumption].
Post-treatment, I will follow the aftercare guidelines which include [Details about aftercare, e.g., moisturizing, using sunscreen].
By signing this document, I affirm that I have been informed of the details concerning the procedure. I have had the opportunity to ask questions regarding the procedure and have received satisfactory answers.
[Signature of the Client]
[Name of the Client]
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