Informed Consent for Laser Tattoo Removal
Customer’s name: Date:
I, consent to and authorize Hyper Day Span and members of his/her staff to perform multiple treatments, laser procedures, and related services on me. The procedure planned uses laser technology for the removal of tattoos.
As a patient, you have the right to be informed about your treatment so that you may make the decision whether to proceed for laser tattoo removal or decline after knowing the risks involved. This disclosure is to help to inform you prior to your consent for treatment about the risks, side effects and possible complications related to laser tattoo removal:
The following problems may occur with the tattoo removal system:
Occasionally, unforeseen mechanical problems may occur and your appointment will need to be rescheduled. We will make every effort to notify you prior to your arrival to the office. Please be understanding if we cause you any inconvenience.
My questions regarding the procedure have been answered satisfactorily. I understand the procedure and accept the risks. I hereby releasee Brandon Nolan & Scott Aadal (individually) and Hyper Day Spa (facility) from all liabilities associated with the above indicated procedure.
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Your legal name
Your email address
Signed by Scott Aadal
Signed On: September 5, 2023
If you have questions about the contents of this document, you can email the document owner.
Document Name: Tattoo Removal
Agree & Sign