Vi Peel Consent Form

Vi Peel Consent Form - The VI Peel contains a synergistic blend of powerful ingredients which are suitable for all Fitzpatrick skin types VI Peels will improve the tone texture and clarity of the skin It will reduce age spots improve hyperpigmentation including melasma soften lines and wrinkles clear acne skin conditions and reduce or eliminate acne scars

VI PeelsTM will improve the tone texture and clarity of the skin reduce age spots improve hyperpigmentation including melisma soften lines and wrinkles clear acneic skin conditions reduce or eliminate acne scars and stimulate the production of collagen for firmer more youthful skin Contraindications

Vi Peel Consent Form

Vi Peel Consent Form

• VI Peels are safe for patients 13 and up Perfect Derma Peel Patient Consent (you will be asked to sign this form online prior to your appointment) : Contraindications: • Underwent any kind of surgery and not fully recovered • Those who keloid • Allergy to aspirin • Uncontrolled diabetes

VI Peel Skin Concerns Tone texture sensitive skin early signs of aging 20 first time peel maintenance patients Key Ingredients TCA Retinoic acid vitamin A Salicylic acid Phenol L Ascorbic acid vitamin C VI Peel Advanced

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VI Peel Body will improve the tone texture and clarity of the skin reduce age spots improve hyperpigmentation soften stretch marks clear acne skin conditions reduce or eliminate acne scars improve common conditions of the body like tinea versicolor keratosis pilaris and acanthosis nigricans while stimulating the production of collagen

Chemical Peel Consent Form Amulette

VI Peel Face Pre Post Consent Form Patient Name First Last VI Peel Chemical Peel Pre Treatment Instructions Wait at least one year post Accutane use before your peel One week before peel patient should avoid Electrolysis Depilatory Creams Waxing Laser Hair Removal

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My informed consent for a VI Peel by Dr Charles B Christian Jr or his designated aesthetician I have been given a copy of Post Peel Instructions and agree to follow them Variations from these instructions may affect the results of the peel and the development of complications Patient Signature Date

Chemical Peel Consent Form Ascp Form Resume Examples My3aOvd1wp

V I Peel Informed Consent 1 I authorize the VI Peel 2 There may be redness and or irritation and discoloration that can persist for several days to weeks 3 Occasionally hyperpigmentation or hypopigmentation might develop after the peel that might persist for weeks or months 4 No guarantees can be made as to the final results 5

The Vi Peel contains a synergistic blend of powerful ingredients suitable for all skin types. Vi Peels improve the tone, texture and clarity of the skin; improve hyperpigmentation, soften lines and wrinkles; clear acneic skin ... This consent form is freely and voluntarily executed . Consent: * Yes. Full Name * First Name Last Name. Patient ...

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VI Peel Body Pre Post Consent Form Patient Name First Last Before Avoid any professional treatment that creates exfoliation to the skin for 2 weeks prior to your VI Peel Body treatment Discontinue use of exfoliating products like scrubs AHAs and Retinoic Serum 24 48 hours prior to your visit Avoid waxing for 7 days prior to visit

Vi Peel Consent Form

V I Peel Informed Consent 1 I authorize the VI Peel 2 There may be redness and or irritation and discoloration that can persist for several days to weeks 3 Occasionally hyperpigmentation or hypopigmentation might develop after the peel that might persist for weeks or months 4 No guarantees can be made as to the final results 5

VI PeelsTM will improve the tone texture and clarity of the skin reduce age spots improve hyperpigmentation including melisma soften lines and wrinkles clear acneic skin conditions reduce or eliminate acne scars and stimulate the production of collagen for firmer more youthful skin Contraindications

VI Peel Pre Care Instructions James D Wethe MD