Co2 laser skin resurfacing consent for treatment.
Co2 laser consent form.
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Informed consent and release form cortex fractional co 2 laser treatment as a patient it is important for you to understand the expected results and risks of fractional co 2 skin resurfacing with the cortex co 2 laser system.
It contains the information omic recommends you as the surgeon personally discuss with the.
Matrix fractional co2 laser client informed consent.
Do not sign this form without reading and understanding its contents.
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Fractional co2 laser consent form dr.
These glasses are specific to the type of laser.
Use of a laser for dental treatment hard and or soft tissue and root canal is a very safe and predictable form of treatment.
I understand there is a possibility of short term effects such as.
For translated forms please visit the consent forms in spanish page.
I understand that the fractional co2 laser is a laser device designed for ablative skin resurfacing and that clinical results may vary in different skin types.
The nature of the fraxel restore dual procedure has been explained to me.
Patient name date.
This form is intended as a sample form.
Please read this document carefully.
Medications are available to treat such complications but in rare cases.
Safety glasses are worn to protect the eyes from any unforeseen effects.
Fraxel treatment consent initial that you have read and understand this page.
Fractional co2 laser uses beamlets of energy light to bore tiny holes in the skin which works to.
A co2 laser uses a wavelength of 10 600 nm which makes water molecules the effective target of the laser energy.
Give the patient a copy and send this form to the hospital or surgery center as verification that you have obtained informed consent.
Co2 laser skin resurfacing consent form.
Some individuals have a tendency to form raised or thickened scars and this may be unpredictable.
It is photo thermal produces heat.
Place letterhead here and remove note.
Fraxel dual is a non ablative fractionated laser.
Laser energy is not ionizing radiation i e.
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The water within the skin is rapidly heated causing heating of the deep dermis which stimulates to form new collagenand elastinhelping to increase skin turgor and thickness tightness and tone.
I declare that i understand the following information the goal of co 2 laser skin resurfacing surgery is to reduce or partially eliminate facial wrinkles or reduce scarring from skin conditions such as acne.
Before signing this document please ask your physician about any aspect of.
