TLC PLASMA CONSENT FORM


Please kindly go through this declaration form *
What to expect ? Any Side Effects ?
What to expect ? Any Side Effects ?

Have you had any of the following in the last 30 days? If Yes , you are not suitable for this treatment

Have you any of the following skin conditions?

Additional contraindications:

PHOTOGRAPHIC CONSENT *

IMPORTANT - PLEASE ACKNOWLEDGE *

PATCH TEST *

CONSENT *

PLEASE READ CAREFULLY AND CLICK SUBMIT BUTTON BELOW ONLY WHEN YOU ARE HAPPY TO PROCEED. ENSURE ALL POINTS HAVE BEEN DISCUSSED WITH YOUR SPECIALIST. YOU ARE GIVING CONSENT TO STATE YOU UNDERSTAND AND ACCEPT THESE TERMS. *