Pico LASER Consent form

This page explains our terms of service FOR THE pico laser TREATMENT, which contain important information.

When you book a pico laser appointment or PACKAGE with the Beautyholic bar, you’re agreeing to these terms AND ARE AWARE OF ANY RISKS.

YOU NEED ONLY FILL/SIGN THIS FORM ONCE.

The purpose of this informed consent form is to provide written information regarding the risks, benefits and alternatives of the procedure named above. This material serves as a supplement to the discussion you have with your service provider. It is important that you fully understand this information, so please read this document thoroughly.

If you have any questions regarding the procedure, ask your service provider professional prior to signing the consent form or email us: inquiries@thebeautyholicbar.com

What is the treatment?

A pico laser is a type of laser treatment that uses ultra-short pulses of light to target and treat various skin conditions. 

How it Works: 

  • Pico lasers deliver extremely brief pulses of laser energy, known as picosecond pulses, which are trillionths of a second long. 

  • These pulses create microscopic cavitation bubbles in the skin that break down pigment particles, such as tattoos, sunspots, and freckles. 

  • The body's natural healing process then removes the fragmented particles, resulting in improved skin tone and texture. 

Benefits: 

  • Effective for treating tattoos, sun damage, age spots, acne scars, and wrinkles. 

  • Delivers precise and targeted treatment with minimal downtime. 

  • Can be used on all skin types, including darker tones. 

  • Less likely to cause scarring or hyperpigmentation compared to traditional laser treatments. 

Before the treatment:

Sun protection 

  • Avoid the sun for at least 2 weeks before treatment

  • Apply a broad-spectrum sunscreen with SPF 30 or higher

  • Avoid tanning beds and self-tanner

Skincare products 

  • Avoid retinoids, exfoliants, and harsh skincare products

  • Avoid products with glycolic and salicylic acid

  • Avoid products that are high in parfums

Medications 

  • Inform your esthetician of any medications or supplements you take

  • Avoid photosensitizing medications, including antibiotics

  • Discontinue Accutane for at least 6 to 12 months before treatment

Other preparations 

  • Avoid alcohol for at least 24 hours before treatment

  • Arrive with clean, makeup-free skin

  • Inform your doctor if you have any active skin infections or outbreaks

  • Schedule a consultation with your skincare specialist

  • Hydrate well in the days leading up to treatment

I understand the nature of the procedure, including the benefits, risks, and potential side effects. I have provided accurate information regarding my medical history and current skin condition. I acknowledge that no guarantees have been made regarding the results of the treatment. I understand that multiple sessions may be required to achieve optimal results, and maintenance sessions may be needed over time.

I hereby consent to and authorize The BeautyHolic and its trained professional, Sonia Felix, to perform the PICO LASER treatment on me.

I understand this is an elective procedure and I hereby voluntarily consent to the Pico Laser treatment. The procedure has been fully explained to me. I also understand that any treatment performed is between me and the Service Provider who is treating me and I will direct all post-procedure questions or concerns to the treating Service Provider. I have read the above and understand it. My questions have been answered satisfactorily. I accept the risks and complications of the procedure and I understand that no guarantees are implied as to the outcome of the procedure. I also certify that if I have any changes in my medical history I will notify the Service Provider who treated me immediately.

I have read and understand the post-treatment home care instructions. I understand how important it is to follow all instructions given to me for post-treatment care. In the event that I may have additional questions or concerns regarding treatment or suggested home product/post-treatment care, I will consult the Specialist immediately.

I have also, to the best of my knowledge, given an accurate account of my medical history, including all known allergies, prescription drugs or products I am currently ingesting or using topically. I have read and fully understand this agreement and all information detailed above and I consent to the terms of this agreement. I do not hold Specialist, sonia Felix, responsible for any of my conditions that were present, but not disclosed at the time of this skin care procedure, which may be affected by the treatment performed today. I also release any liability that may arise from this procedure.

I also state that I read and write in English.