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COSMED LASER SPA 

Vaginoplasty is a cosmetic procedure designed to change the size and shape of a woman’s genitals. This procedure can reduce the physical effects of large labia while making women feel more confident and unattractive when undressed or wearing tight clothing.

Technician uses High intensity non-invasive ultrasonic waves equipment to stimulate the regeneration of collagen fibers, restoration of hydration and elasticity within the vaginal lining, improving lubrication, decreasing urinary track infection and tightening effect.

Shaving of treatment area in 24-hour advance recommended.

 

Latest technology ultrasonic waves with 360 degree rotation, total care for vagina. non-invasive,pain free,no recovery time,no radiation,no trauma, no scars,no anesthesia, no bleeding, no side effects.

Contraindications to treatment :

Pregnant patients

No menstrual period within 3 days before or after treatment.

Severe bleeding ( hemophilia)

Heart failure patients

No sexual or common disease

No tumors near vaginal parts

No sex after the procedure 2 weeks

 

Another common after-effect is pain with urination.

This happens because urine irritates the incisions. This can be prevented by running warm water over the area when you urinate to dilute the urine.

 

 

 

First Client's Name

First Name*

Last Name*

Phone*
First Client's Date of Birth*
I certify that I am 18 years of age or older
First Client's Information
What would you like to treat:*
I understand that i will be injected with one of the following*
Face / Neck
Body
What topical medications or creams are you currently using?
Retin-A

Others (Please list):

FOR OUR FEMALE CLIENTS:


Occupation
First Client's Signature*
Second Client's Name

First Name*

Last Name*
Second Client's Date of Birth*
Second Client's Information
What would you like to treat:*
I understand that i will be injected with one of the following*
Face / Neck
Body
What topical medications or creams are you currently using?
Retin-A

Others (Please list):

FOR OUR FEMALE CLIENTS:


Occupation
Third Client's Name

First Name*

Last Name*
Third Client's Date of Birth*
Third Client's Information
What would you like to treat:*
I understand that i will be injected with one of the following*
Face / Neck
Body
What topical medications or creams are you currently using?
Retin-A

Others (Please list):

FOR OUR FEMALE CLIENTS:


Occupation
Fourth Client's Name

First Name*

Last Name*
Fourth Client's Date of Birth*
Fourth Client's Information
What would you like to treat:*
I understand that i will be injected with one of the following*
Face / Neck
Body
What topical medications or creams are you currently using?
Retin-A

Others (Please list):

FOR OUR FEMALE CLIENTS:


Occupation
Fifth Client's Name

First Name*

Last Name*
Fifth Client's Date of Birth*
Fifth Client's Information
What would you like to treat:*
I understand that i will be injected with one of the following*
Face / Neck
Body
What topical medications or creams are you currently using?
Retin-A

Others (Please list):

FOR OUR FEMALE CLIENTS:


Occupation
Sixth Client's Name

First Name*

Last Name*
Sixth Client's Date of Birth*
Sixth Client's Information
What would you like to treat:*
I understand that i will be injected with one of the following*
Face / Neck
Body
What topical medications or creams are you currently using?
Retin-A

Others (Please list):

FOR OUR FEMALE CLIENTS:


Occupation
Seventh Client's Name

First Name*

Last Name*
Seventh Client's Date of Birth*
Seventh Client's Information
What would you like to treat:*
I understand that i will be injected with one of the following*
Face / Neck
Body
What topical medications or creams are you currently using?
Retin-A

Others (Please list):

FOR OUR FEMALE CLIENTS:


Occupation
Eighth Client's Name

First Name*

Last Name*
Eighth Client's Date of Birth*
Eighth Client's Information
What would you like to treat:*
I understand that i will be injected with one of the following*
Face / Neck
Body
What topical medications or creams are you currently using?
Retin-A

Others (Please list):

FOR OUR FEMALE CLIENTS:


Occupation
Ninth Client's Name

First Name*

Last Name*
Ninth Client's Date of Birth*
Ninth Client's Information
What would you like to treat:*
I understand that i will be injected with one of the following*
Face / Neck
Body
What topical medications or creams are you currently using?
Retin-A

Others (Please list):

FOR OUR FEMALE CLIENTS:


Occupation
Tenth Client's Name

First Name*

Last Name*
Tenth Client's Date of Birth*
Tenth Client's Information
What would you like to treat:*
I understand that i will be injected with one of the following*
Face / Neck
Body
What topical medications or creams are you currently using?
Retin-A

Others (Please list):

FOR OUR FEMALE CLIENTS:


Occupation
Client's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
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Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Information
What would you like to treat:*
I understand that i will be injected with one of the following*
Face / Neck
Body
What topical medications or creams are you currently using?
Retin-A

Others (Please list):

FOR OUR FEMALE CLIENTS:


Occupation
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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