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Important Notice: Online Consent Form Required

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To ensure a smooth and timely experience during your visit, please note that the Online Consent Form must be completed before your appointment. Failure to complete the form in advance will result in the inability to proceed with your scheduled treatment, and you will not be seen.

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MUST BE 18 YEARS OF AGE! NO KIDS! CAN ONLY BE ACCOMPANIED BY ONE GUEST!

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We appreciate your understanding and cooperation in helping us serve you better. Thank you!

Patient Medical Questionnaire/Consent Form

Please fill out the following form.

Date of birth

Medical History

Have you ever had the following? (Please check all that apply)

Dermatologic History

Have you ever had the following? (Please check all that apply)

When exposed to the sun, do you usually:
Do you use sunscreen regularly?
No
Yes
Do you use artificial or "sunless" tanning products?
No
Yes
How did you hear about us?

Assumption of Risks and Release from Liability:

By completing the fields below, you agree that you have read and understand the forgoing risks and that there may be additional risks that are not enumerated herein and that we are not presently aware of. You agree to assume the risks and release its owner its staff of all liability associated with these and other risks regardless if we are negligent or otherwise at fault. By completing the information below, you acknowledge that you elect to have laser hair removal performed by us on your person and that you do so under an agreement with these terms willingly and without reservation.

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