I hereby consent to having a Tattoo Removal Treatment.
In some cases, the tattoos' ink could leak around the area and change color.
Expect frosting during the treatment.
Expect reactions on the treated areas like darkening, blisters, Keloids, swelling, burns, scars, hypopigmentation, hyperpigmentation, itching, and redness.
Side effects can be diminished with time but in some cases can stay longer or even permanent.
History of any Dermal Fillers / Botox or Tattoos must be informed.
The number of sessions for different areas could be more or less.
Time between each session is necessary 6 - 8 weeks.
Procedure timings vary from area to area and patient to patient.
Laser treatments are not advised for pregnant women.
Laser treatments are not recommended right before an important event because reactions vary after each session.
The number of sessions for the different areas varies from person to person; therefore, results cannot be estimated.
Protective eyewear (shields) will be provided to you during the treatment. Failure to wear eye shields during the entire treatment may cause severe and permanent eye damage.
Choice of suitable machine for the treatment is done by the doctor.
The results are staged, no guarantees can be or have been made.
There are no refunds for services rendered.
I am a competent consenting adult of at least 18 years of age (or my parent or legal guardian is giving consent on my behalf), and further:
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.
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.
I hereby authorize and direct the doctors and/or technician to perform the treatment on me.