TR BEAUTY SPA Official Page

Client Information

Full Name

Phone Number

Date of Birth

Technician

Date of Treatment

Treatment Description

I, the undersigned, understand that I am undergoing a CO2 Fractional Laser treatment to improve skin texture, reduce acne scars, wrinkles, and pigmentation. This procedure delivers microscopic columns of laser energy into the skin to stimulate collagen production and skin renewal. Multiple sessions may be required for optimal results.

Medical History

Do you currently have or have had any of the following??

Cold sores/herpes

Keloid scarring

Diabetes

Pregnant/Breastfeeding

Accutane/Retinol (last 6 months)

Recent tanning/sunburn

Blood thinners

History of skin cancer or abnormal pigmentation

If any are checked, please describe

Risks & Side Effects

I understand that while CO2 Fractional Laser treatment is generally safe, possible side effects include:

Redness, swelling, or discomfort
Peeling, dryness, or crusting during healing
Hyperpigmentation or hypopigmentation
Risk of infection or scarring (rare)
Flare-ups of cold sores if prone

Client Responsibilities & Aftercare

I agree to follow all post-treatment instructions:

Avoid sun exposure and wear SPF 30+ after healing
Use only recommended gentle skincare products
Keep the area clean and moisturized
Do not pick, peel, or scratch the skin

I understand that downtime may vary between 3-10 days depending on treatment depth.

Photo/Media Consent

I give TR BEAUTY SPA permission to take photos/videos of my treatment area for:

Internal records only

Marketing and educational purposes (social media, website, etc.)

I do NOT consent to any photography

Consent & Release

I confirm that all provided information is accurate.
I understand the nature, risks, and alternatives of this treatment.
I release TR BEAUTY SPA and staff from liability for any adverse outcomes if aftercare is not followed or health conditions were undisclosed.
I understand no guarantees are made regarding results.

I understand that TR• Beauty Spa is committed to providing safe, professional, and individualized treatments using appropriate techniques and medical-grade technologies. I acknowledge that treatment outcomes vary between individuals and depend on factors beyond the control of TR• Beauty Spa, including my skin condition, medical history, lifestyle, healing response, and compliance with aftercare instructions. Therefore, no specific result or degree of improvement can be guaranteed. I understand that an outcome different from my expectations does not, by itself, indicate negligence or improper treatment. All treatments and packages are Final Sale and non-refundable, except where required by applicable law.

By signing below, I confirm that I have read and understood the information provided, and I willingly consent to undergo the specified CO2 Fractional Laser treatment at TR.beautyspa.

Client Signature

Please sign in the box below

Date

CO2 Fractional Laser Treatment