Co2 Laser Consent Form

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Co2 laser consent form.

Christopher smith to use the co2 laser system to perform ablative skin resurfacing and any post treatment medical requirements that may be necessary. 2 laser skin resurfacing. The goal of co. Change font size for large print.

Please review it and modify to fit your. Co2 therapy consent form patient. Steven c spencer michelle osborne spencer pa amanda smith pa c lindsey marshall pa c patient name treatment sites i duly authorize to use the fractional co2 laser system to perform ablative skin resurfacing and any post treatment medical requirements that may be necessary. Fractional co2 laser procedure consent t.

Fractional co2 laser consent form dr. 310 205 3555 818 914 7546 l f. A preview is displayed below. Brief description of procedure fractional co2 laser is an ablative fractional laser in which micro beams of light injure small fractions of the skin leaving behind areas of untreated skin which helps in quick recovery and improvement in texture of skin and scarring.

It contains the information omic recommends you as the surgeon personally discuss with the patient. Informed consent for co. Full name of procedure given below in this consent form. I declare that i understand the following information.

Multiple sessions are required based on the indications. This form is intended as a sample form. The procedure may require multiple sequential treatments. Laser skin resurfacing surgery is to reduce or partially eliminate facial wrinkles or reduce scarring from skin conditions such as acne.

Prior to treatment the area to be treated will be anesthetized with a topical numbing cream or lidocaine. I understand that the co2 is a procedure performed with a laser device designed for ablative skin resurfacing. I duly authorize dr. Co2 laser skin resurfacing consent form.