• I understand that reactions such as redness, oedema (swelling), pain and itching may follow treatment, as may an acne like eruption. All these reactions are linked to the procedure itself and usually resolve after a few days.
• I understand that lumps, abscesses, and indurations- sometimes associated with redness and/or swelling have been reported after treatment in some patients. In most cases these side effects disappeared however, in some cases, they have lasted up to two weeks.
• All side effects must be reported to the practitioner as soon as possible. After the session, small bulges may appear at the treated sties which disappear in 24 hours. Rarely, mild or allergic reaction may occur.
• I understand that this treatment requires many sessions (3-4 average) within 1-2 weeks intervals depending on the doctor/specialist opinion.
• I understand that the degree of improvement depends on the response of my skin to the treatment. And that there might be a need for combination therapy with other procedures to obtain the desired results.
• Patients with a history of herpes simplex (cold sores) should note that there is a small risk that injecting product around previously affected areas may cause the herpes to flare up again.
• I understand that the treatment is variable and that the outcome of the treatment cannot be guaranteed.
• After treatment, I will follow the advice given by my practitioner to achieve satisfactory aesthetic results. I realize that if I do not follow this advice, the end result may be less optimal. I am aware of the importance of follow up care and my own responsibility.
• How and when skin booster should be used, the likely benefits and possible undesirable effects have been explained to me. I have replied honestly to all questions about my medical and aesthetic history.

• Pre and post treatment instructions have been explained to me.
• I have had the opportunity to ask questions, and all my questions have been answered to my satisfaction.
• I declare that while completing the medical questionnaire, I have answered the information related to my personal medical history questions completely and I have not withheld any information.
• I must notify the clinician if my medical history changes prior to subsequent treatments.
• I consent to clinical photographs being taken of my treated areas for my personal health record only.
• There are no refunds for services rendered and/or after a year from purchase and not used.
• The treatments I receive here are voluntary and I release KAI LIFE CLINIC, my doctors, nurse and/or my technician from liability and assume full responsibility thereof for this appointment and future appointments
• My signature below constitutes my acknowledgment and understanding of all this information.