Microneedling consent | Laser Treatments

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PROCEDURE OVERVIEW

Microneedling is a minimally invasive procedure designed to stimulate hair growth by creating micro-injuries in the scalp, which may enhance the absorption of topical treatments and promote healing responses. While this procedure has shown promising results, individual outcomes may vary.

Potential Benefits

• Increased hair density and thickness.

• Stimulated natural hair growth.

• Improved scalp health.

Possible Risks and Side Effects

• Redness, swelling, or discomfort on the treated area.

• Temporary itching or sensitivity.

• Minor bleeding, bruising, or scabbing.

• Risk of infection if aftercare instructions are not followed.

• Rarely, worsening of scalp conditions or no improvement.

Client Acknowledgements

Please initial next to each statement to confirm your understanding:

I understand that microneedling for hair growth is an elective procedure and results are not guaranteed.

I understand the potential risks, benefits, and alternatives to this procedure.

I have disclosed all medical conditions, allergies, medications, and supplements I am currently taking.

I will follow all pre- and post-treatment instructions provided to me by my practitioner.

I understand that multiple sessions may be necessary for optimal results.

I understand that photographs of the treatment area may be taken for medical records or progress tracking.

Medical History

Have you experienced any of the following? (Check all that apply)

Skin conditions (eczema, psoriasis, etc.)

Bleeding disorders

Allergies to numbing creams or topical solutions

Pregnancy or breastfeeding

Scalp infections or open wounds

History of keloid or hypertrophic scarring

If you checked any of the above, please provide additional details:

Consent Statement

I, the undersigned, confirm that I have read and understand this consent form. I have had the opportunity to ask questions about the procedure, its risks, benefits, and alternatives. By signing this form, I consent to undergo microneedling for hair growth treatment.

I understand that consultation cost is £25 (This can be used as credit for first full price procedure if consultation is attended). Any last minute cancellations will incur a charge of £25.

Client Signature:

Date:

Practitioner Signature:

Date:

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MICRONEEDLING FOR HAIR GROWTH CONSENT FORM