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THE REFINED TOUCH

Terms and Conditions of Treatments

Please read the disclaimer related to your treatment below.

MICRONEEDLING

PATIENT CONSENT: This is an informed consent form that has been prepared to help inform you of the potential benefits and risks of microneedling. It is important that you read this information carefully and discuss fully with your practitioner before proceeding with treatment.

It is also important that you take as much time as you need to consider the treatment carefully, weighing up all your options before reaching an informed decision. It is essential that you are aware of your right to have a second opinion and you are encouraged to ask any questions that come to mind throughout the entirety of the process.

Microneedling is a skin treatment used to rejuvenate the skin and improve the skins surface.

It can be used to improve the appearance of fine lines, expression lines, wrinkles, enlarged pores, and acne scars, hyperpigmentation and stretch marks. As the microneedling device moves across the skin, it makes multiple small needle punctures in the skin's outer epidermis layer, creating very minor micro injuries. In response to the perceived injury, new collagen synthesis is triggered and the micro holes created allow passage of healing serums. These treatment effects aim to produce overall skin rejuvenation.

The microneedling device is used to make multiple small micro needle punctures in the skin. Prior to the procedure, topical anaesthetic cream is applied to improve your comfort. Basic micro needling treatment includes the application of healing gels and serums during the procedure. When microneedling is administered as a part of the vampire facial, the patient's own blood-derived growth factors and platelet rich plasma (PRP) are applied during the procedure. The entire procedure is normally completed within 30-60 minutes depending on the required treatment and the anatomical site.

More than one treatment will likely be required to achieve or maintain results, but this depends on the treatment aim and client response to treatment. Results can be seen at 2-3 weeks after treatment, but peak results are usually seen at 4-6 weeks. The duration of results varies between clients and there is no guarantee that you will achieve desired results. Microneedling does not prevent recurrence of the condition being treated.

I understand that several appointments may be necessary to produce optimal results and I will be notified, in advance of each session of treatment, about the location where the next treatment session is going to take place and the identity of who is going to be involved in my care at each stage. I also understand that I will be kept informed of progress and that I can change my mind at any point.

After treatment, you should minimise exposure of the treated area to excessive sun or UV lamp exposure and extreme cold weather until any initial swelling or redness has gone away.

RISKS AND SIDE EFFECTS: As with any procedure there are possible risks associated, it is important that you are aware of all the possible risks and fully discuss these with your practitioner before proceeding.

Common side effects of microneedling include discomfort or pain during and after the procedure (often described as a stinging sensation). Pain is worse particularly in areas of bony prominence or where the skin is thinner. Immediately following the procedure, the skin may feel tight, swollen, and sensitive to the touch. It will also look red and feel sunburned. The sensitivity and redness will likely diminish significantly within 24 hours and should fully resolve by 7 days. Sometimes people can faint or feel faint with needles, you must tell your practitioner as soon as possible if you feel unwell during the treatment.

Other common short-term side effects include itching, discomfort, pinpoint bleeding or bruising, scabbing, and darkening of the treated area.

Uncommon side effects include skin infection (cellulitis, reactivation of cold sores (herpes simplex outbreak), hyperpigmentation (darkening of the skin), and hypopigmentation (lightening of the skin). Darkening or lightening of the skin usually fades within 6 months, but in rare cases, could be permanent. This reaction is more common in patients who tan or who have darker skin tones and can be exacerbated by sun exposure. The risk of pigmentation changes can be minimised by avoiding sun exposure for 4 weeks before and after treatment, using appropriate sunscreen/ SPF cream and by adhering to the pre and post treatment instructions.

Rare side effects of microneedling include skin scarring which may be permanent.

I have been advised of the relevant information associated with this treatment and I confirm that I fully understand this advice. This includes advice about:

the aims/motivations for having the procedure and the desired outcome
the risks inherent in the procedure
the risks inherent in refusing the procedure
the risks specific to me
the expected benefits of the treatment
the potential disadvantages of the treatment
alternative procedures and their pros and cons - including the option of no treatment at all
any uncertainties about and the likelihood of success of the procedure
any follow-up treatment that may be required

CLINICAL PHOTOS AND VIDEOS: I agree to and authorise the taking of clinical photographs and videos. I understand that these clinical photographs and videos will form part of and will be kept with my confidential medical records.

I have been asked what information I want and would need in order to make an informed decision. I have been given the opportunity to discuss my desired outcome fully in order for me to make an Informed decision. I have been given the opportunity to discuss my desired outcome fully in order for me to make an informed decision.

I certify that I have read the above consent and that I fully understand it. I have been given ample opportunity for discussion and all my questions have been answered to my satisfaction. No new information has become available that affects my decision to have the treatment or my decision to consent. I hereby consent to this procedure. This constitutes the full disclosure and supersedes any previous verbal or written disclosures.

CHEMICAL PEEL

PATIENT CONSENT: This is an informed consent form that has been prepared to help inform you of the potential benefits and risks of chemical peel. It is important that you read this information carefully and discuss fully with your practitioner before proceeding with treatment.

It is also important that you take as much time as you need to consider the treatment carefully, weighing up all your options before reaching an informed decision. It is essential that you are aware of your right to have a second opinion and you are encouraged to ask any questions that come to mind throughout the entirety of the process.

A chemical peel involves the application of a chemical solution to the skin which acts to remove the top layers of the skin. The skin that regrows is smoother with improved cosmetic appearance. A chemical peel can be used to improve the appearance of lines and wrinkles, tired skin, fine scars, acne and areas of skin pigmentation.

There are 3 different types of chemical peels light, medium and deep. These relate to the different depths of skin layer removal. Deeper chemical peels take longer to heal but will tend to produce more significant results. Light chemical peels are less aggressive to the skin but may need to be done more freauentlv to achieve desired results.

A deep chemical peel should only be done once as repeated deep peels would damage the skin.

Multiple treatments for lighter peels are often required to obtain optimal results spaced apart.

Due to variables such as age, condition of your skin, sun damage, smoking, skincare products, climate, lifestyle, and general health, you acknowledge that there are no guarantees, warranties or assurances that you will be satisfied with your results. The skin can take up to 14 days to heal after a chemical peel and repeat peels should not be done within this 2 week period. You should have repeat peels at 4-6 weeks.

I understand that several appointments may be necessary to produce optimal results and I will be notified, in advance of each session of treatment, about the location where the next treatment session is going to take place and the identity of who is going to be involved in my care at each stage. I also understand that I will be kept informed of progress and that I can change my mind at any point.

RISKS AND SIDE EFFECTS: As with any procedure there are risks and complications involved. It is important that you are aware of these before proceeding. I am aware of the following risks/ complications that may occur:

Common side effects include, mild to moderate discomfort or pain following the procedure, slight redness or swelling of the skin following the peel, increased sun sensitivity of the skin and general increased skin sensitivity. These effects can last up to 14 days as this is the skins healing time following the peel. Occasionally skin redness may persist for longer than 14 days. Less commonly pigment changes to the skin can occur, the skin may become lighter or darker in pigment after the peel. Occasionally these pigment changes can be permanent.

Rare complications include allergic reaction to the chemical product, which could include anaphylaxis requiring emergency medical attention. Bacterial infection of the skin (cellulitis) or reactivation of herpes virus infections. Permanent scarring is also a rare possibility.

I understand that the treatment may involve risks of complication or injury from both known and unknown causes, and I freely assume those risks.

Before receiving treatment, I have been candid in revealing any condition that may have a bearing on this procedure.

I have been advised of the relevant information associated with this treatment and I confirm that I fully understand this advice. This includes advice about:

the aims/motivations for having the procedure and the desired outcome
the risks inherent in the procedure
the risks inherent in refusing the procedure
the risks specific to me
the expected benefits of the treatment
the potential disadvantages of the treatment
alternative procedures and their pros and cons - including the option of no treatment at all
any uncertainties about and the likelihood of success of the procedure
any follow-up treatment that may be required

CLINICAL PHOTOS AND VIDEOS: I agree to and authorise the taking of clinical photographs and videos. I understand that these clinical photographs and videos will form part of and will be kept with my confidential medical records.

Thave been asked what information I want and would need in order to make an informed decision.

I have been given the opportunity to discuss my desired outcome fully in order for me to make an informed decision.

I certify that have read the above consent and that I fully understand it. I have been given ample opportunity for discussion and all my questions have been answered to my satisfaction. No new information has become available that affects my decision to have the treatment or my decision to consent. I hereby consent to this procedure. This constitutes the full disclosure and supersedes any previous verbal or written disclosures.

DERMAL FILLER

PATIENT CONSENT: This is an informed consent form that has been prepared to help inform you of the potential benefits and risks of dermal filler injections. It is important that you read this information carefully and discuss fully with your practitioner before proceeding with treatment.

It is also important that you take as much time as you need to consider the treatment carefully, weighing up all your options before reaching an informed decision. It is essential that you are aware of your right to have a second opinion and you are encouraged to ask any questions that come to mind throughout the entirety of the process.

INTRODUCTION

Injection of dermal fillers aims to smooth out facial folds and wrinkles, adds volume to the tissues (e.g. lips), and helps to contour facial features. Most dermal fillers used are based on Hyaluronic acid, they may also contain lidocaine, a local anaesthetic to help with pain control.

RESULTS

Hyaluronic acid dermal fillers have been shown to be safe and effective, results can last up to 12 months or longer. After initial treatment, a period of 2 weeks should be allowed for the filler to settle and for residual bruising and swelling to subside.

At this 2 week point you may require a small top up if there is any slight unevenness or discrepancy present. There is no guarantee that you will not require additional treatment to achieve the results you seek. Often more than one treatment is needed to achieve desired results. The dermal filler procedure is temporary and additional treatments will be required periodically to maintain results. I am aware the duration of treatment and results are dependent on many factors. I understand the post-treatment instructions, following these will reduce the risk of complications and improve my comfort post treatment.

I understand that several appointments may be necessary to produce optimal results and I will be notified, in advance of each session of treatment, about the location where the next treatment session is going to take place and the identity of who is going to be involved in my care at each stage. I also understand that I will be kept informed of progress and that I can change my mind at any point.

RISKS AND COMPLICATIONS

Understanding the risks of dermal filler injections is essential to make an informed decision about your treatment. No procedure is completely risk-free, and all potential risks must be explained before going ahead with treatment. Below are the relevant risks and complications associated with dermal fillers.

Common complications

These include pain, bleeding and bruising at the time of injection. After injection, the area may feel tender but should not be actively painful. If you experience significant pain following dermal filler injection, then you must contact your practitioner as soon as possible for review.

Bruising is a common problem; the degree of bruising is dependent on several factors. Most of the time bruising is mild but occasionally can be more significant. Bruising can take up to 2 weeks to fully resolve but should be much improved after 1 week.

More uncommonly severe bruising can lead to haematoma formation, a collection of clotted blood. In this case the swollen collection of blood will need at least 2 weeks to resolve naturally and your practitioner will give you the appropriate after care advice. Swelling is another common side effect following dermal filler this is usually mild to moderate but occasionally swelling can be more severe. Swelling is often worse on days 2-3 after injections, it should resolve by 2 weeks but should be significantly improved after 5 days. Sometimes people can faint or feel faint with injections, you must tell your practitioner as soon as possible if you feel unwell during the treatment.

Uncommon complications include- skin infection (cellulitis) which presents as hot, red, shiny skin and you may also be generally unwell. In the case of suspected infection following dermal filler, you should contact your practitioner but also seek medical assessment as soon as possible as you will likely need antibiotics. Occasionally infection can form a swollen collection called an abscess. In this case you again must seek urgent medical attention. If you suffer from cold sores (a herpes virus infection of the lip) these can sometimes be reactivated following a lip filler. Dermal filler can lead to lumps or nodules and sometimes there may be unevenness or poor cosmetic result. You may not achieve the results you desire, especially with one treatment. Filler can occasionally migrate over time and lead to a poor cosmetic appearance, you may require filler dissolving injections to remove migration if it becomes very noticeable or persistent. Occasionally people can develop an unwanted inflammatory reaction to the dermal filler and this can lead to nodule formation called granuloma. These often present as a delayed complication several months after the treatment.

Several treatment options are available for granuloma formation and you may require medical assessment. Dermal filler can sometimes cause skin discolouration (Tyndall effect) if accidentally injected too superficially. If this occurs, then you will likely require dissolving injections to remove the filler causing the discolouration.

Rare complications include allergic reaction to the dermal filler or lidocaine anaesthetic, if this a component of the product. Very rarely clients may develop an anaphylactic reaction which would require emergency medical assistance and transfer to hospital. Rarely dermal filler can be injected into an artery blocking the flow of blood to the tissue being treated. This is known as vascular occlusion, if untreated it is serious because it can lead to death of tissue (necrosis) which may require reconstructive surgery to correct. In the rare event of vascular occlusion, it would be treated with emergency injections of a filler dissolving drug called Hyaluronidase. This is an enzyme that removes the filler occluding the blood vessel and can usually fully reverse the vascular occlusion leading to no long-term harmful effects. Your practitioner will be trained in how to use Hyaluronidase in an emergency, however if treatment with Hyaluronidase is not successful then you would require urgent medical assessment or assessment by a doctor who is a specialist in aesthetic medicine.

Finally, the rarest of all complications of dermal filler is called filler blindness. This is where a small amount of filler can be injected into a blood vessel, break off and travel within the circulation (embolisation) and cause blockage of the artery or vein supplying the back of the eye. There have been less than 200 cases reported worldwide but you must be aware of this risk especially if you are receiving nasal or glabella fillers. Filler blindness is irreversible in most cases, in the event of this complication you should seek urgent assessment at the nearest eye hospital or medical eye unit.

I have been advised of the relevant information associated with this treatment and I confirm that I fully understand this advice. This includes advice about:

the aims/motivations for having the procedure and the desired outcome
the risks inherent in the procedure
the risks inherent in refusing the procedure
the risks specific to me
the expected benefits of the treatment
the potential disadvantages of the treatment
alternative procedures and their pros and cons - including the option of no treatment at all
any uncertainties about and the likelihood of success of the procedure
any follow-up treatment that may be required

CLINICAL PHOTOS AND VIDEOS: I agree to and authorise the taking of clinical photographs and videos. I understand that these clinical photographs and videos will form part of and will be kept with my confidential medical records.

I have been asked what information I want and would need in order to make an informed decision.

I have been given the opportunity to discuss my desired outcome fully in order for me to make an informed decision.

I certify that I have read the above consent and that I fully understand it. I have been given ample opportunity for discussion and all my questions have been answered to my satisfaction. No new information has become available that affects my decision to have the treatment or my decision to consent. I hereby consent to this procedure. This constitutes the full disclosure and supersedes any previous verbal or written disclosures.

AQUALYX

AQUALYX™ was developed by the renowned aesthetic surgeon Prof. Pasquale Motolese in 2002 and has been used for many years in different countries of the European Community and abroad.

The manufacturer Marlor states sales of two million vials in two years. No major side effects occurred and the treatment was well-tolerated and successful.

FORMULATION

AQUALYX™ is an injectable, hydrous, micro-gelantuous solution, which is biocompatible and biodegradable. It causes the dissolution of fat cells, after which the body then expels the released fatty acids naturally. AQUALYX™ is a complex containing detergent from the desoxycholate family that has been physically modified in order to reduce the biological half-life and the sugar-based slow release system results in minimal side effects. The ingredients are an polymer from 3, 6-Anhydro-L-Galactose and D-Galactose, buffer systems, sodium salt of (3?, 5?, 12?) - 3, 12-dihydroxy-5-cholan-24-acid, water for injection purposes and sodium chloride.

During intralipotherapy AQUALYX™ is injected directly into the subcutaneous fat tissue using very thin, sharp cannulas. Within the following weeks the treated fat cells are gradually dissolved. The metabolism in the treated area is increased. Intralipotherapy is

intended for patients with localised adipose tissue not responding to diet or increased physical exercise. Intralipotherapy is not intended for weight loss, it is used to improve and alter the contour of the body. Results can not be compared to a liposuction, as that is an operative method of fat reduction where large amounts of fat are permanently removed from the body. The results of intralipotherapy are permanent, however the procedure takes time to reach its full effect.

Patients that have undergone follow-up examinations seven years after therapy still show a relevant diminution of fat tissue in the treated areas. Intralipotherapy is an aesthetic-medicinal treatment that is generally not reimbursable by government or private health care insurers. The patient must bear all expenses.

THERAPY

Intralipotherapy can be used as a means of moderate reduction of fat tissue as well as a treatment against benign adipoma for patients that do not want to undergo surgery. AQUALYX™ is injected directly into the fat tissue. Administration of anaesthesia is usually not required. To date not one single phenomenon of overdose or toxication has been recorded. Intervals between treatments should amount to three to four weeks. The amount of treatments can vary between two and eight sittings according to the characteristics of the treated area. In support of the therapy a localised ultrasound treatment can be administered directly after injection. However ultrasound treatment is not the decisive factor in the process of the desired fat reduction. As with all aesthetic medicinal therapies there is no guarantee for a fully successful treatment. A minimum of two treatments will be required. About 1% of treated patients have experienced nil to minimal effects after intralipotherapy.

Furthermore I have been informed about the following adverse effects:

General risks: injection therapy may result in permanent damage of nervous tissue and nerves, as well as inflammatory reactions and infections that may result in irreversible scarring.

Expected adverse effects: swelling and hyperthermia of the injected area, haematoma, pressure sensitivity, moderate pain and itching within the treated area.

Possible adverse effects: redness of the skin that may become permanent, permanent punctal rigidification or lumps within the tissue, denting of the treated area due to irregular reduction of fat cells, vegitative disorder, as well as temporary debility of the circulatory system (please be sure to hydrate by drinking a sufficient amount of water), increased sweating, nausea, diarrhoea (uncommon), intracyclic menstrual bleeding (women), allergic reactions (very uncommon) such as nettle rash, asthma bronchiale, symptoms of shock, hyperpigmentation (may last up to several months).

I have been informed about alternative therapies such as dietary measures, increased physical exercise or operative correction (e.g. liposuction). I am not considering any of these options.

Clinical control:

A clinical control will be carried out after completing all arranged treatments and after passing the appointed time intervals.

I have read this informed consent and certify that I understand its contents in full. I have been informed that I must not apply any kind of cosmetics onto the treated area within the first twelve hours following the treatment with

AQUALYX™ and that immediate exposure to heat sources during the following days are to be avoided (e.g. sunlight, UV-radiation, sauna). I am aware of the fact that after therapy with AQUALYX™ treatments using laser, kyrolipolysis or radio-frequency-therapy must not be administered.

Furthermore, I should abstain from particularly demanding physical exercise for seven days.

I have been given a copy of this consent form. My consent and authorisation for this procedure is strictly voluntary. By signing this informed consent form, l grant authority to my physician to perform intralipotherapy using AQUALYX™ and to administer an

additional ultrasound treatment may be deemed necessary or advisable in the diagnosis and treatment of my condition. The nature and purpose of this procedure, with possible alternative methods of treatment as well as complications, have been fully explained to my satisfaction. No guarantee has been given by anyone as to the results that may be obtained by this treatment.

I have had enough time to consider the information from my physician and feel that I am sufficiently advised to consent to this procedure.

I hereby give my consent to this procedure and have been asked to sign this form after my discussion with the physician.

PUBLICITY MATERIALS

I authorise the taking of clinical photographs and videos. I understand that photographs and videos may be taken of me for educational and marketing purposes. I hold the practitioner harmless for any liability resulting from this production. I waive my rights to any royalties, fees and to inspect the finished production as well as advertising materials in conjunction with these photographs.

RIGHT TO DISCONTINUE TREATMENT

I understand that l have the right to discontinue treatment at any time & l understand payment will still have to be made in full.

PAYMENT

I understand that this is an 'elective' procedure and that payment is my responsibility and is expected at the time of treatment.

The information provided has been explained to me and all my questions have been answered to my satisfaction. I have read the above information.

SKIN BOOSTERS

RISKS AND SIDE EFFECTS:

As with any procedure there are potential risks and complications associated with Skin Boosters Injections. You must be aware of the following possible risks before proceeding. You must fully discuss any questions with your practitioner.

Common complications:

These include pain, bleeding and bruising at the time of injection. After injection, the area may feel tender but should not be actively painful. If you experience significant pain then you must contact your practitioner as soon as possible for review.

Bruising is dependent on several factors, most of the time bruising is mild but occasionally can be more significant. Bruising can take up to 2 weeks to fully resolve but should be much improved after 1 week. More uncommonly severe bruising can lead to haematoma formation, a collection of clotted blood. In this case the swollen collection of blood will need at least 2 weeks to resolve naturally and your practitioner will give you the appropriate after care advice. Your skin may appear red and swollen after the injection, this is usually mild and should improve after a couple of days, but it can last up to 14 days in some cases.

Uncommon complications include:

Skin infection (cellulitis) which presents as hot, red, shiny skin and you may also be generally unwell. In the case of suspected infection, you should contact your practitioner but also seek medical assessment as soon as possible as you will likely need antibiotics. Occasionally infection can form a swollen collection called an abscess. In this case you again must seek urgent medical attention. If you suffer from cold sores (a herpes virus infection of the lip) these can sometimes be reactivated following injections. Occasionally people can develop an unwanted inflammatory reaction and this can lead to nodule formation called granuloma. These often present as a delayed complication several months after the treatment. Several treatment options are available for granuloma formation and you may require medical assessment. Sometimes people can faint or feel faint with injections, you must tell your practitioner as soon as possible if you feel unwell during the treatment.

Rare complications include:

Allergic reaction including anaphylactic reaction which would require emergency medical assistance and transfer to hospital. Rarely, it can be injected into an artery blocking the flow of blood to the tissue beina treated. This is known as vascular occlusion, if untreated it is serious because it can lead to death of tissue (necrosis) which may require reconstructive surgery to correct. In the rare event of vascular occlusion, it would be treated with emergency injections of a dissolving drug called Hyaluronidase. This is an enzyme that removes the hyaluronic acid occluding the blood vessel and can usually fully reverse the vascular occlusion leading to no long-term harmful effects. Your practitioner will be trained in how to use Hyaluronidase in an emergency, however if treatment with Hyaluronidase is not successful then you would require urgent medical assessment or assessment by a doctor who is a specialist in aesthetic medicine.

I understand that several appointments may be necessary to produce optimal results and I will be notified, in advance of each session of treatment, about the location where the next treatment session is going to take place and the identity of who is going to be involved in my care at each stage. I also understand that I will be kept informed of progress and that I can change my mind at any point.

I have been advised of the relevant information associated with this treatment and I confirm that I fully understand this advice. This includes advice about:

the aims/motivations for having the procedure and the desired outcome
the risks inherent in the procedure
the risks inherent in refusing the procedure
the risks specific to me
the expected benefits of the treatment
the potential disadvantages of the treatment
alternative procedures and their pros and cons - including the option of no treatment at all
any uncertainties about and the likelihood of success of the procedure
any follow-up treatment that may be required

CLINICAL PHOTOS AND VIDEOS: I agree to and authorise the taking of clinical photographs and videos. I understand that these clinical photographs and videos will form part of and will

be kept with my confidential medical records.

I have been asked what information I want and would need in order to make an informed decision.

I have been given the opportunity to discuss my desired outcome fully in order for me to make an informed decision.

I certify that I have read the above consent and that I fully understand it. I have been given ample opportunity for discussion and all my questions have been answered to my satisfaction. No new information has become available that affects my decision to have the treatment or my decision to consent. I hereby consent to this procedure. This constitutes the full disclosure and supersedes any previous verbal or written disclosures.

Polynucleotide injection

This document is a written statement that certifies that the patient, hereafter referred to as the "Client," fully understands the Polynucleotide Injection treatment, the potential risks, and benefits associated with said treatment. The Client provides their consent to be treated by the healthcare professionals associated with the

"Clinic."

TREATMENT INFORMATION

The term "Treatment" refers to Polynucleotide Injection, a procedure designed to stimulate natural collagen production, improve skin elasticity, and overall skin quality. The procedure involves the injection of polynucleotides into specific areas of the skin.

RISKS

Every medical treatment carries inherent risks, and this is true for the Polynucleotide Injection treatment as well. The potential risks associated with Polynucleotide Injection include, but are not limited to:

Allergic reactions: Some patients may have allergies to substances used during the treatment.

Physical discomfort or pain: There may be some discomfort or pain during or after the procedure.

Skin reactions: This may include redness, swelling, itching, or other types of skin irritation.

Unforeseen side effects: This includes any reactions or complications not typically expected from the treatment.

BENEFITS

While risks are inherent to any treatment, there are potential benefits that the Client may experience with the Polynucleotide Injection treatment. These benefits include, but are not limited to:

Improved skin texture: The treatment may result in smoother, healthier-looking skin.

Increased collagen production: The treatment is designed to stimulate collagen production, which can improve skin elasticity and reduce the appearance of wrinkles.

Enhanced aesthetic appearance: The treatment may lead to cosmetic improvements, enhancing the client's overall appearance.

I have been advised of the relevant information associated with this treatment and I confirm that I fully understand this advice. This includes advice about:

the aims/motivations for having the procedure and the desired outcome
the risks inherent in the procedure
the risks inherent in refusing the procedure
the risks specific to me
the expected benefits of the treatment
the potential disadvantages of the treatment
alternative procedures and their pros and cons - including the option of no treatment at all
any uncertainties about and the likelihood of success of the procedure
any follow-up treatment that may be required

CLINICAL PHOTOS AND VIDEOS: I agree to and authorise the taking of clinical photographs and videos. I understand that these clinical photographs and videos will form part of and will be kept with my confidential medical records.

I have been asked what information I want and would need in order to make an informed decision.

I have been given the opportunity to discuss my desired outcome fully in order for me to make an informed decision.

I certify that I have read the above

GET IN TOUCH

Need assistance? Get in touch, and we’ll get back to you shortly!

Email: amelia@the-refined-touch.com

Tel: 07847 250636

Location: 12 Market street, Alton, GU34 1HA