Your Immortelle: Information and Consent of Microneedling Treatments

Important Background to the Consent Process

I wish to help you make an informed decision about your treatment options and any relevant alternative options. You may at any time decline treatment even after giving your consent.

Whilst I will make every effort to understand what significance you would attach to any particular risk it is important that you feel comfortable enough to question me on any point of concern during this process.

Please feel you have as much time as you wish to reflect on the information given before agreeing to proceed with the treatment.

Purpose of Treatment

You have presented with concerns that have formed the basis of a clinical discussion and examination.

The purpose of the proposed treatment is to address your concerns either individually or in combination with other modalities of treatment.

Outcomes

I will endeavor in good faith to employ the principles of best practice in delivering your treatment. Each patient is individual and response to treatment will vary from patient to patient and treatment to treatment. As such it is difficult to guarantee outcomes will always meet your
expectations.

Important Considerations

Every care is taken to deliver the products in a manner that will minimize risk, however, you should be aware of the risks, as one may exist upon which you place particular significance.

Patients are advised to take into account all these potential risks before consenting to treatment. Please make me fully aware of your expectations prior to giving consent.