PLEASE INITIAL YOUR UNDERSTANDING NEXT TO EACH PARAGRAPH
I consent to photographs/videos for medical records, education, and advertising. If used for education or advertising, I will not be identifiable.
I agree to follow a specific post-operative treatment plan, which has been reviewed with me by the staff (see separate sheet). I understand that smoking and blood thinning drugs (aspirin, Vit E, garlic, ginkgo, etc.) can interfere with healing.
Alternatives to this procedure such as: freezing, cutting, injections, chemical treatments, the use of different lasers or IPL, or doing nothing has been discussed.