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Laser Hair Removal

Consent Form

  • The average person generally requires between 8-12 treatments. The treatments are usually 4-6 weeks apart. Sometimes with hormonal issues like PCOS and thyroid disorders, or larger body areas - additional treatments are needed.

  • In between treatments no waxing, plucking or bleaching allowed. You may shave or cut the hair as much as you like in between treatments, but the area MUST BE SHAVED THE MORNING OF YOUR APPOINTMENT for each treatment. Whether there is hair there or not - please always shave. We do not need to see where the hair is, as we treat the whole area. The better job you do of shaving - the more effective the treatment will be.

  • No tanning in between treatments. SPF of at least 35 should be used during sun exposure as hyperpigmentation (darkening of the skin in the area treated) may occur in a small percentage of people.

  • After the treatment the hair will go through a 3 week shedding process. The majority of the hair will shed out in 3 to 4 days after the treatment but it can take up to 3 weeks or more for stubborn hairs to work their way out. By the end of the 3rd week you will start to see the effects of the laser hair removal treatment. The hair will grow in slower and less coarse and may appear patchy.


  • Laser does NOT treat the hair itself, so you will still see hair after the treatment. Laser targets the papilla, which is at the base of the follicle that supplies nutrition to the hair. It takes several treatments to stunt the hair growth. Even after hair stops growing in additional treatments are required to ensure the hair stays gone long term. After the initial series of treatments, touch up treatments will be needed eventually, based on hormonal fluctuations and aging.
  • It is okay to do the bikini/Brazilian area during your period.


  • Some typical reactions are redness, bumps and sometimes swelling. It is possible for these to last up to two to three days but most will only be slightly pink for about 10 minutes.


  • With every one second pulse of the laser it will cover the surface area of about the size of a nickel, treating all the hairs within that circumference.


  • Laser does not work on blonde, gray or white hair.


  • Treatments can be painful. Ice packs are offered to numb the area before and during the treatment. We also offer a topical anesthetic cream that is recommended for sensitive areas such as the lip underarms and bikini. The topical needs to be applied 45 minutes before the treatment, so it can be sent home with you after your first appointment to be applied for your future treatments.



   I authorized the staff at Laser Luxury to perform Candela gentle yag laser treatments on me. The Candela gentle yag is a device that produces an intense but gentle burst of light that fragments to reduce hair growth with selective destruction and minimal harm to the surrounding tissue. To protect my eyes from the intense light I will wear laser protective glass. I will feel a cool spray then a hot pulse from the laser. I have been informed that scarring, blistering, purpura, hyper/hypopigmentation are possible risks and complications of this procedure. Usually, if these occur, they are temporary and can be resolved in a few days or weeks, but skin discoloration may be permanent. For the best results, I have been informed that multiple treatments are necessary. I am aware that the procedure can be painful and topical anesthetic may be used. The laser is also equipped with a cooling device that delivers a spray on the skin to reduce discomfort.

  I understand that immediately following the laser treatment, the treatment area will appear as red discoloration and may have slight swelling which can last up to two hours or longer. The redness may last up to three to four days. The treated area will feel like a sunburn for the few hours. Hyper or hypo pigmentation may occur within two weeks of treatment and if so a bleaching cream may be applied. Antibiotic ointment or aloe may be used for a few days after the treatment if necessary. It has been discussed with me that improper care of the treated area may increase the chances of scarring or skin textural changes. I also understand that there is a 24 hour $25 cancellation policy and I agree to be charged if I miss my appointment or do not cancel within 24 hours. I understand that there are no refunds. I have read and understood all information presented to me before signing this consent.

I Agree

May 9, 2025

First Client's Name

First Name*

Last Name*

Phone*
First Client's Date of Birth*
First Client's Information

Email *

How did you hear about us?
Are you tan / recent sun exposure*
No
Yes
Skin Type*

Skin Allergies

List medications

Body areas you would like to treat *
Previous laser hair removal treatments*
No
Yes

How many previous treatments? What body areas?
Do you need laser touch up treatments on any additional body areas?*
No
Yes
First Client's Signature*
Second Client's Name

First Name*

Last Name*
Second Client's Date of Birth*
Second Client's Information

Email *

How did you hear about us?
Are you tan / recent sun exposure*
No
Yes
Skin Type*

Skin Allergies

List medications

Body areas you would like to treat *
Previous laser hair removal treatments*
No
Yes

How many previous treatments? What body areas?
Do you need laser touch up treatments on any additional body areas?*
No
Yes
Third Client's Name

First Name*

Last Name*
Third Client's Date of Birth*
Third Client's Information

Email *

How did you hear about us?
Are you tan / recent sun exposure*
No
Yes
Skin Type*

Skin Allergies

List medications

Body areas you would like to treat *
Previous laser hair removal treatments*
No
Yes

How many previous treatments? What body areas?
Do you need laser touch up treatments on any additional body areas?*
No
Yes
Fourth Client's Name

First Name*

Last Name*
Fourth Client's Date of Birth*
Fourth Client's Information

Email *

How did you hear about us?
Are you tan / recent sun exposure*
No
Yes
Skin Type*

Skin Allergies

List medications

Body areas you would like to treat *
Previous laser hair removal treatments*
No
Yes

How many previous treatments? What body areas?
Do you need laser touch up treatments on any additional body areas?*
No
Yes
Fifth Client's Name

First Name*

Last Name*
Fifth Client's Date of Birth*
Fifth Client's Information

Email *

How did you hear about us?
Are you tan / recent sun exposure*
No
Yes
Skin Type*

Skin Allergies

List medications

Body areas you would like to treat *
Previous laser hair removal treatments*
No
Yes

How many previous treatments? What body areas?
Do you need laser touch up treatments on any additional body areas?*
No
Yes
Sixth Client's Name

First Name*

Last Name*
Sixth Client's Date of Birth*
Sixth Client's Information

Email *

How did you hear about us?
Are you tan / recent sun exposure*
No
Yes
Skin Type*

Skin Allergies

List medications

Body areas you would like to treat *
Previous laser hair removal treatments*
No
Yes

How many previous treatments? What body areas?
Do you need laser touch up treatments on any additional body areas?*
No
Yes
Seventh Client's Name

First Name*

Last Name*
Seventh Client's Date of Birth*
Seventh Client's Information

Email *

How did you hear about us?
Are you tan / recent sun exposure*
No
Yes
Skin Type*

Skin Allergies

List medications

Body areas you would like to treat *
Previous laser hair removal treatments*
No
Yes

How many previous treatments? What body areas?
Do you need laser touch up treatments on any additional body areas?*
No
Yes
Eighth Client's Name

First Name*

Last Name*
Eighth Client's Date of Birth*
Eighth Client's Information

Email *

How did you hear about us?
Are you tan / recent sun exposure*
No
Yes
Skin Type*

Skin Allergies

List medications

Body areas you would like to treat *
Previous laser hair removal treatments*
No
Yes

How many previous treatments? What body areas?
Do you need laser touch up treatments on any additional body areas?*
No
Yes
Ninth Client's Name

First Name*

Last Name*
Ninth Client's Date of Birth*
Ninth Client's Information

Email *

How did you hear about us?
Are you tan / recent sun exposure*
No
Yes
Skin Type*

Skin Allergies

List medications

Body areas you would like to treat *
Previous laser hair removal treatments*
No
Yes

How many previous treatments? What body areas?
Do you need laser touch up treatments on any additional body areas?*
No
Yes
Tenth Client's Name

First Name*

Last Name*
Tenth Client's Date of Birth*
Tenth Client's Information

Email *

How did you hear about us?
Are you tan / recent sun exposure*
No
Yes
Skin Type*

Skin Allergies

List medications

Body areas you would like to treat *
Previous laser hair removal treatments*
No
Yes

How many previous treatments? What body areas?
Do you need laser touch up treatments on any additional body areas?*
No
Yes
Parent or Guardian's Email Address

Email*

Confirm Email*
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(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*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information

Email *

How did you hear about us?
Are you tan / recent sun exposure*
No
Yes
Skin Type*

Skin Allergies

List medications

Body areas you would like to treat *
Previous laser hair removal treatments*
No
Yes

How many previous treatments? What body areas?
Do you need laser touch up treatments on any additional body areas?*
No
Yes
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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