LASER HAIR REMOVAL

CLIENT CONSENT FORM

At SM Body Care, we require all clients to fill out a consent form before your Laser Hair Removal treatment.

Filling out this form ahead of your scheduled appointment, will save you time and ensure a smooth and easy check-in.

How Did You Hear About Us?

We value your privacy.

We will use the information you have provided to provide you with a response. We will not sell or divulge your information to any other party. If you have questions about any of this, please direct them to SM Body Care.

About the Laser Hair Removal Treatments.

Laser Hair Removal is a non-invasive cosmetic procedure designed to reduce and remove unwanted hair from various areas of the body. This treatment utilizes advanced laser technology that emits concentrated pulses of light energy. The laser targets and destroys hair follicles beneath the skin's surface while a cooling mechanism on the device’s handpiece protects and soothes the surrounding skin for maximum comfort.

The treatment is most effective for individuals with dark, coarse hair, as the laser's light is better absorbed by the pigment in these hair types. Lighter, finer hair may require additional sessions, and outcomes can vary. In some cases, removal of light, fine hair may be less successful.

Several factors can influence the results of Laser Hair Removal, including skin type, hormonal balance, and genetic predisposition. While many patients experience significant hair reduction, others may see partial improvement or no noticeable change. It is also important to note that future hormonal changes or medical conditions could potentially lead to new hair growth over time.

What to Expect from Laser Hair Removal

• Sensation During the Procedure: During the treatment, you may experience a mild burning, stinging, or pinching sensation as the laser targets the hair follicles. Most patients find the discomfort tolerable, and the cooling mechanism of the device helps minimize any discomfort.

  
  

• Eye Protection: Protective eyewear will be provided and must be worn during the procedure to shield your eyes from the laser light.

  
  

• Post-Treatment Hair Shedding: After your session, the treated hairs will begin to shed over the next 10 to 21 days. This is a normal part of the process as the destroyed follicles release the hair.

  
  

• Treatment Series: Laser hair removal is a progressive treatment that requires multiple sessions for optimal results. The number of sessions depends on factors such as hair type, treatment area, and individual response.

  
  

• Expected Results: Ideal candidates—typically those with light skin and dark hair—can achieve a 65% to 90% reduction in hair growth with a series of treatments. Areas with thicker skin, such as the back, face, or neck, may require additional sessions and often achieve partial reduction or hair thinning rather than complete removal.

YOUR HEALTH

YOUR SKIN

EXFOLIATION HISTORY

CAPILLARY ACTIVITY

OTHER QUESTIONS

AUTHORIZATION

I understand the following:

I hereby authorize and direct any technicians of SM Body Care to perform laser hair removal on me.

I understand that this procedure works on the growing hairs and not on dormant hairs. For this reason, complete destruction of all hair follicles from, and one treatment is unlikely, and I understand that I will require several CONSECUTIVE treatments to obtain a significant, long-term reduction of hair growth.

I also understand some people may require more treatments than the initial series. I also understand that I will need maintenance treatments to keep the growth away.

I am aware of the following possible experiences/risks with the Laser Hair Removal:

DISCOMFORT - Some discomfort may be experienced during laser treatment.

WOUND HEALING - Laser procedures can result in swelling, blistering, crusting, or flaking of the treated areas, which may require one to three weeks to heal. Once the surface has healed, it may be pink or sensitive to the sun for an additional two to four weeks, or longer in some patients.

BRUISING/SWELLING/INFECTION - With some lasers, bruising of the treated area may occur. Additionally, there may be some swelling. Finally, skin infection is a possibility although rare, whenever a skin procedure is performed.

SCARRING- Scarring is a rare occurrence, but it is a possibility when the skin’s surface is disrupted. To minimize the chances of scarring, it is IMPORTANT that you follow all post-treatment instructions carefully.

EYE EXPOSURE- Protective eyewear (shields) will be provided. It is important to keep these shields on at all times during the treatment in order to protect your eyes from accidental laser exposure.

Clinical results may vary depending on the individual factors, including medical history, skin and hair type, patient compliance with pre/post-treatment instructions, and individual response to treatment.

I acknowledge that I have not waxed, nor plucked the area within the previous six weeks. I also acknowledge that I have not been tanning for the previous four weeks. I confirm that I am not pregnant at this time, and I have not taken Accutane within the last twelve months. I do not have a pacemaker or internal defibrillator.

I certify that I have been fully informed of the nature and purpose of the procedure, expected outcomes, and possible complications, and I understand that no guarantee can be given as to the final result obtained. I am fully aware of my condition is of cosmetic concern and that the decision to proceed is based solely on my expressed desire to do so. I consent to release any liabilities from SM Body Care if any complications arise due to skin type.

I consent to the taking of photographs and authorize their anonymous use for the purpose of medical audit.

I confirm that this consent form is valid for all future laser hair removal treatments. I will alert the staff if there are any future changes in my medical history.

By signing below, I certify that I have been given the opportunity to ask questions and that I have read and fully understand the contents of this consent form.

By signing below, I acknowledge that I have read the above information and give my consent to a Laser Hair Removal treatment.

I UNDERSTAND AND ACKNOWLEDGE THAT PAYMENTS FOR THE ABOVE PROCEDURES ARE NON-REFUNDABLE. ALL FEES PAID COVER THE USE OF THE LASER AND TECHNICIAN’S TIME.

BY MY SIGNATURE BELOW, I CERTIFY THAT I HAVE READ AND FULLY UNDERSTAND THE CONTENTS OF THIS CONSENT FORM FOR LASER HAIR REMOVAL TREATMENT AND THAT THE DISCLOSURES REFERRED TO HEREIN WERE MADE TO ME.

We respect your privacy.