All information is collected by Ivonne Sanchez Beauty pursuant to O. Reg. 136/18: PERSONAL SERVICE SETTINGS and The Personal Information Protection and Electronic Documents Act (“PIPEDA “).
The words “I”, “you” and “your" are used interchangeably throughout this agreement and in all cases refer to you the client who is receiving the treatment or procedure.
“Laser Hair Removal“ is a form of long-term stable reduction in the number of hairs re-growing when measured at 6, 9, and 12 months, performed with a diode laser.
“Practitioner”, “technician”, “instructor” and “we” means 10981508 CANADA INC. (“Ivonne Sanchez Beauty”), its staff or contractors.
SECTION 1: ACKNOWLEDGMENTS AND AGREEMENTS
Please read each statement and sign the end of this document to accept your acknowledgement and agreement to the following:
That I have been given a copy of this Consent and Liability Release (the "Release") prior to the laser hair removal technique being performed on me.
That it is my responsibility to advise the technician of any concerns I may have before participating as a client/customer and having this service performed on me, even though I may have written it down in this Release.
That I have read and accepted the risks set forth in Section 2. I have been given the opportunity to ask questions, either by written or verbal communication, prior to signing this Release. As a result, I have sufficient information to give this informed consent.
That I must complete the Health Questionnaire in Section 3 before I can have this service performed on me. I understand my participation as a client may be refused depending on my responses, including but not limited to, if I am pregnant, nursing or if I have any allergies or contraindications.
That no warranty or guarantee has been made to me as a result of the Laser Hair Removal technique, and that the final result cannot be guaranteed as each hair type is unique.
SECTION 2: RISKS
I acknowledge and accept the following risks:
During the treatment, despite all precautionary measures, injury is possible. I will not hold the technician or business performing this service on me responsible in any way for any damages or issues that may arise as a result of having the laser hair removal procedure performed on me.
Although the vast majority of Laser (Hair Removal) treatment clients never experience any of these complications, you should discuss each
of them with a technician to ensure you fully understand the alternatives, risks, potential complications and average outcomes of
laser hair removal treatments.
Discomfort: The laser hair removal treatments are very well tolerated in-clinic treatments. Client comfort may be optimized with the
use of a topical anesthetic cream and a skin chiller, but the integrated parallel cooling tip on the applicator often provides an
acceptable level of comfort during the procedure. With these treatments you may experience a minor and tolerable degree of heat and/or
tingling discomfort with each treatment, especially when many active hair follicles are present.
Skin Wound: It is exceedingly rare for laser hair removal treatments to cause a burn, blister or skin irritation/wound. This is more
of a risk in darker or tanned skin types. If a burn, blister or skin wound develops it may take 5-10 days to heal, and, in extremely rare instances,
may leave a noticeable whitening or darkening of the skin or, even more rarely, a scar. Burns, blisters or skin wounds are much more common
if you do not follow the recommended use of sunscreen and avoidance of sunlight, self tanners, UV light and fluorescent light exposure after
Scarring: Occurs less than 0.1%. If you have developed a wound and a scar, the scar may end up being flat and white (hypotrophic), large
and red (hypertrophic) or extend beyond the margins of the injury (keloid). Subsequent treatment or surgery may be required to improve the
appearance of the scar. The scar may be permanent. Not following pre and post treatment instructions may increase the likelihood of a skin
wound or scar.
Pigment Change: With the laser energy used in hair removal treatments, there is a small risk of <1% of temporary
hyperpigmentation (increased pigment or brown discolouration) or hypopigmentation (whitening of the skin). Usually these pigment effects are
temporary and resolve over several weeks or months. Permanent hyperpigmentation or hypopigmentation is very rare and may occur in less
than 1% of cases. In the event of hyperpigmentation this may be resolved with microneedling, but is not included in the service.
Sun Exposure: Sun exposure to the treatment area immediately after treatment and for one month following the treatment may also
increase the risk of pigmentary changes in the treatment area.
Bruising: It is exceedingly uncommon to have any skin bruising following treatment. If bruising occurs, it can be masked immediately and
will usually resolve in 8-10 days. As the bruising fades, there may be a rust-brown discolouration of the skin (hyper pigmentation) that may
take special creams to fade away.
Infection: Laser hair removal treatments involve no cutting, surgery or skin penetration, and thus infection is exceedingly rare.
Excessive Redness and Swelling: Rarely, a minor degree of redness and/or puffiness of the skin may follow treatment and usually lasts 1-2
hours. This may persist, in rare instances, for 1-2 days. A mild steroid cream (0.5% hydrocortisone available at the clinic) or ice application, will
usually settle this.
Laser (Hair Removal) treatments will leave your skin photosensitized for 48 hours after each treatment and you must avoid sunlight/UV
light. Failure to do so could result in significant redness and swelling that may be quite disfiguring and may increase the rare risk of
complication, such as blisters, scarring and pigmentation changes.
Fragile Facial Skin (hair removal on the face): The skin overlying the treatment area may become quite fragile. Although uncommon, the
fragile skin can become reddened and the outer layer may peel off, much like a blister. This usually settles in 8-10 days. Fragile skin or blisters
may be more common if post-care instructions are not followed.
If you are subject to cold sores, please notify your Treatment professional, as cold sore eruptions can be common with laser treatments, you
may need to go on an anti-viral medication during your treatment.
Accutane – An oral acne medication that must be discontinued 3 months prior to treatments.
Additional Treatment - In most instances, it is recommended that you have maintenance Velocity Laser (Hair Removal) session every 3-6
months after completion of the initial course to maintain your results.
The technician and the business performing the service on me will not liable for any damages caused to me or my skin/hair in any way caused by any reason, including allergic reaction, reaction to previous procedures such as previous laser or IPL hair removal, skin sensitivity, and my failure to follow the Aftercare Instructions.
Lack of Satisfaction – Your response is subject to variation as not all clients or hair will respond the same, but on average, almost 100% of
patients who have undergone treatment report a noticeable reduction in the their unwanted hair beginning after the first treatment. However, there is
a risk that you may not see an appreciable reduction in the area of unwanted hair.
Pregnancy - Although no known adverse reactions upon a fetus are known to result we do not recommend proceeding with treatment if you are
known to be pregnant.
There are many variable conditions in addition to risks and potential complications listed above that may influence the long-term result from
Laser (Hair Removal) treatments. Even though risks and complications can occur infrequently, the risks cited in this consent are particular for
Laser (Hair Removal) treatments. Other complications and risks can occur but are even less common. Should complications occur,
additional surgery or treatment may be required. The practice of aesthetics and laser hair removal is not an exact science. Although good results are expected, there is not
a guarantee or warranty expressed or implied as to the results that may be obtained. Infrequently, it is necessary to perform additional treatment to
improve your results.
ALTERNATIVES TO LASER REMOVAL
Other forms of hair removal include: waxing, and sugaring. These common aesthetic services last only several weeks up to a month before the appearance of hair is noticable again.
You will be responsible for necessary payments. Additional costs may occur should complications develop from treatment. There are no refunds.