Loading...

SARAH LASER CENTER & MEDSPA

IPL/Carbon/RF


IPL Photofacial

The treatment involves a series of treatments usually 3-4 weeks apart. Individual response will vary per skin type, hair color, degree of tanning, follow-up care, and the area being treated. Some brown spots may appear darker before they flake off in about a week. Generally, clients will experience optimal results after 3-6 treatments scheduled every 3-4 weeks. Results based on skin conditions and skin types will vary, as do the recommended number of treatments.

Potential Risks

  • Erythema (redness), edema (swelling), Irritation, itching, and/or a mild burning sensation similar to sunburn may occur within 48 hours of treatment.
  • Pigmentary changes such as hyperpigmentation and hypopigmentation of the skin in the treated areas
  • Scarring, blisters, reddening; pinpoint pitted scars, bruising, superficial crusting, burns, pain, and infections. 
  • There is a known and expected loss of hair in the treated areas. In a very small percentage of people, there is new hair growth in the surrounding areas being treated.
  • Eye damage can occur from the light and therefore protective eyewear must be worn during all phototherapy sessions.


Carbon Laser Peel

NOTE: You should be aware that any excess hair growth on the face will need to be shaved, although the normal fine downy hair on many women’s faces will not pose a problem.

  • Male clients will need to have a close shave before the treatment or treatment will only be performed in clean-shaven areas

Potential Risks

  • There is a very small chance that there could be an eye injury due to the use of lasers and therefore protective eyewear must be worn.
  • There is a risk that the laser will have an adverse reaction on the skin in the treated area if my Skin Type is too dark or if I have red spots or pigmented blemishes on my skin at the time of treatment.

The number of treatments required varies per individual. Carbon laser treatments usually require 6-8 treatments spaced 2-4 weeks apart.

Cleanse the area with tepid warm water. Avoid extremities of heat such as hot showers, hot tubs, and saunas for 72 hours after treatment.


Radio Frequency (RF)

RF treatments cannot prevent future skin aging. Multiple treatments are required and there is no guarantee that the wrinkles or sagging skin will be completely addressed. Results are individual.

While it is expected to have a 40% to 50% improvement in the treated area after a completed series of weekly treatments, it is impossible to guarantee results.

Some clients exceed our expectations and some clients respond below expectations. Weekly treatments present the best outcome in most individuals.

Potential Risks

Side effects are rare but can include swelling, bumps, minor burns, and blisters on or around the treatment area.

 

Please initial here that you have read, understood, and agreed to the following information:

 

CANCELLATION POLICIES

I do understand the 24-hour cancellation notice required and agree to pay the appropriate fees if I do not cancel or reschedule within 24 hours of my appointment date and time. A cancellation fee of $45 will be applied if I fail to cancel or reschedule within the specific time frame. The same rule applies to NO SHOW appointments. As a courtesy, we will send an email/text message reminder to confirm your appointment date.  Must confirm on all follow-up appointments.  Please understand that it is your responsibility to let us know if you need to cancel or reschedule to avoid the cancellation fee.


 

Refund Policy

I do understand all sales are final and non-refundable. There will be no refund or reimbursement for the unfinished package(s), voucher, or deals if you become ineligible for laser treatment or physically unable to continue the treatment within the stated period. However, exchanges may be made for any remaining credit toward other services we provide.


 

Tipping/Gratuity

I do understand that TAXES/GRATUITY are not included in any service I purchase. Tipping is not mandatory but it is customary in most circumstances for service.  It is common practice to tip 10%-20% of the original service price. Please feel free to extend a gratuity as a result of your experience. Gratuities are accepted in the form of cash or credit card. 


 

By signing below, I certify all information is true and correct to the best of my knowledge, understand and agree to the following:

  • I certify that I am not Pregnant and I am not planning to get pregnant during the course of the treatment.
  • I certify that I have not taken Accutane within the past six months.
  • I certify that I have not taken an Antibiotic within the past four weeks.
  • I certify that I do not have a Pacemaker or internal defibrillator.
  • Have the right to consent to or refuse any proposed procedure at any time prior to its performance.
  • I certify that the information contained in this Informed Consent was explained to me using terms I could understand, and all my questions and concerns have been answered. After reviewing all the information provided to me about cosmetic procedures and reviewing my health status, I believe I am a good candidate for the procedure/s.
  • I acknowledge and accept the risks inherent in the procedure/s. I voluntarily assume the risk of possible complications and side effects which may arise from the treatment/s set forth herein; and any of my heirs, executors, representatives or assigns hereby release Sarah Laser Center Inc. from any and all claims, liabilities for personal injury, and property damages of any kind sustained while on the premises, during the treatments set forth herein by any employees or representatives of Sarah Laser Center Inc.
  • I confirm that I have read the post-treatment instructions provided by Sarah Laser Center Inc. and I understand that it's my responsibility to follow these instructions and that my failure to adhere to these recommendations may result in complications and contraindications for which I am fully responsible.
  • I certify that I have been advised of the pre-treatment instructions, the post-treatment healing process, and the possible risks relating to treatment, and have been given the opportunity to ask and have answered all questions. I agree to follow all aftercare instructions and to notify Sarah Laser Center Inc. of any concerns or difficulty in healing, along with any updates in my medical information. Further, I will not hold Sarah Laser Center Inc. liable for any omissions or post-treatment reactions.
  • I certify that I have read the entire above Informed Consent and believe that Sarah Laser Center Inc. has adequately explained the risks of this treatment, alternative methods of treatment, and possible benefits from this treatment, and I hereby consent to the IPL Photofacial/CabonPeel/RF treatment/s to be performed by the technicians of Sarah Laser Center Inc. Considering that I have been informed that certain medical conditions prohibit the patient from the treatment, I have provided a full and truthful medical history and a truthful and accurate account of my medications to this office. Having been apprised of all the above, I have signed this Consent Form and authorized the subject treatment. 

 

 

Date: May 2, 2024



Please select who will be receiving a consult/treatment...
AdultMinor
Continue
First Client's Name

First Name*

Last Name*
First Client's Age Acknowledgment*
First Client's Date of Birth*
I certify that I am 18 years of age or older
First Client's Information

Age *

Occupation *
How did you hear about us?*

Other

Acknowledgement:

I certify that the preceding medical, personal skin history statements are true and accurate. I am aware that it is my responsibility to inform the technician, esthetician, therapist, doctor or nurse of my current medical or health conditions and to update this history. A current medical history is essential for the caregiver to execute appropriate treatment procedure. 

First Client's Signature*
Parent or Guardian's Email Address

Email
A signed copy of this waiver will be sent to the email address you provide.
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.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Relationship*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Information

Age *

Occupation *
How did you hear about us?*

Other

Acknowledgement:

I certify that the preceding medical, personal skin history statements are true and accurate. I am aware that it is my responsibility to inform the technician, esthetician, therapist, doctor or nurse of my current medical or health conditions and to update this history. A current medical history is essential for the caregiver to execute appropriate treatment procedure. 

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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!