» Laser CO2 Treatment Form

Laser CO2 Treatment

CLIENT INTAKE FORM

Client Information

Treatment Description

I, the undersigned, understand that I am undergoing a non-surgical laser procedure using CO2 technology to remove:

The procedure involves ablating superficial skin lesions using a CO2 laser device.

Medical History

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

Risks & Side Effects

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

  • Redness, swelling, or discomfort
  • Scabbing or crusting during healing
  • Temporary pigmentation changes
  • Minor risk of scarring or infection

Client Responsibilities & Aftercare

I agree to follow all post-treatment instructions:

  • Avoid sun exposure
  • Keep area clean and dry
  • Do not pick or scratch
  • Apply healing ointment as instructed

I understand healing time and results vary per individual.

Photo/Media Consent

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

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.

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

Client Signature

Please sign in the box below
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