I understand that bruising, mild swelling, mild pain, red marks after the injections will occur after
the treatment. Very occasionally mild allergic reactions are possible risks and/or complications to this
procedure. Usually, if these occur. they are temporary and resolve in a few days or weeks.
I understand that MESOTHERAPY / Stem Cells Face treatment requires multiple sessions. While these
treatments generally produce good effects for hair falling ( not androgenic = hereditary type of hair
loss) and the rejuvenation of skin, however, it will make the skin stronger more flexible and more
vibrant and it is important to repeat the treatments some times to keep the results.
I understand that it may take 4-10 sessions at 1-2 week intervals, in order to see a result from these
treated areas.
I also have informed that it is important to inform the technician, who will be performing these
treatments about any disease I am suffering of or any medication I am taking that may be contraindicated
and may increase my sensitivity to this treatment.
I understand that I must arrive for my appointment on time. Any delay more than a 1/4 of the allotted
time. I will have to re-schedule or accept a shorter treatment session.
I confirm that I have read and understood the above information and hereby authorize the treating staff
to carry out this treatment.
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.