Informational Consents by Discipline & Modality

Biohacking / Performance

‌PEMF/Pulse Consent Form

This document provides information regarding the Pulsed Electromagnetic Field (PEMF) Cellular Exercise system (“System”) from Pulse PEMF (“PULSE”) to support informed use. This System is designed to promote wellness and enhance the body’s natural abilities. It is not intended for the diagnosis, treatment, or cure of any medical condition and is not FDA-evaluated as a medical device.

Important Safety Information

The System should not be used under the following conditions:

• Presence of implanted electronic devices such as pacemakers, defibrillators, cochlear implants, spinal stimulators, glucose monitors, or insulin pumps.
• Presence of implanted magnetic devices deemed “unsafe for MRI” or containing ferromagnetic materials.
• Pregnancy.
• Active bleeding or hemorrhaging outside of normal menstrual bleeding.
• Presence of blood clots without medical clearance.
• Organ transplant recipient status.
• Unassessed injuries (for either humans or animals) by a licensed healthcare provider or veterinarian.
• Colic in animals (consult with a veterinarian for advice on proceeding).If uncertain about whether PEMF is appropriate, users should consult their licensed healthcare provider or veterinarian.

  PEMF Session Preparations and Precautions

  Before a PEMF session, please:

• Remove metal objects, electronic devices, battery-operated devices, keys, wallets, magnetic strip cards (such as credit cards and hotel keys), jewelry, and hearing aids.
• Be aware that metal implants may react to electromagnetic stimulation and might require adjustments to the system settings.During a PEMF session, users should:
• Pause the session and consult a healthcare provider if experiencing symptoms like nausea, headache, fatigue, muscle soreness, increased menstrual flow, or other discomfort.
• Seek veterinary advice if animals experience symptoms such as muscle soreness, gait stiffness, changes in fecal output, skin reactions, or behavioral changes.

  General Release

  There may be other unforeseen risks associated with using the System. PULSE, its employees, agents, and affiliates do not accept liability for loss or damages related to the System session, except as specified under applicable laws for gross negligence or willful misconduct. All claims are subject to arbitration.

  Use of Recordings

  In demonstration settings, usage of the System may be recorded. PULSE may use such recordings for educational, research, promotional, or commercial purposes. This grant is perpetual, worldwide, and royalty-free.

  Confidentiality and Dispute Resolution

  All terms of this document are to remain confidential, and any disputes related to the System’s use shall be resolved through arbitration, with proceedings held in Cobb County, Georgia, in accordance with JAMS Streamlined Arbitration Rules.‌

  Proteus

  Proteus Motion is an advanced fitness and performance assessment tool that provides 3D resistance training and analyzes strength, power, and movement efficiency. Unlike traditional weightlifting or cable machines, Proteus Motion uses patented 3D resistance technology to create a consistent level of force across all movement directions. This enables full-body training and precise performance tracking.PurposeThe Proteus Motion system is designed to:

• Evaluate strength, power, and range of motion in multiple planes of movement.
• Support rehabilitation, athletic performance, and general fitness goals.
• Provide real-time feedback and data for optimizing workouts and tracking progress.How It Works
• You will perform exercises using the Proteus Motion machine under the guidance of a trainer or technician.
• Movements are tracked to assess strength, power, and efficiency across different ranges and angles.
• Data collected during the session is used to create a personalized training plan or evaluate progress.Potential Benefits
• Improved Performance: Target weak areas and improve functional strength.
• Injury Prevention: Identify imbalances or inefficiencies in movement.
• Efficient Workouts: Maximize strength and power gains with data-driven exercises.
• Rehabilitation Support: Safely rebuild strength and mobility following an injury.Potential Risks and ConsiderationsWhile Proteus Motion is designed to be safe and low-impact, the following risks should be considered:
• Muscle Strain: Incorrect technique or overexertion may lead to muscle strain or soreness.
• Joint Stress: Improper alignment during exercises could place undue stress on joints.
• Fatigue: Overexertion may result in temporary fatigue or discomfort.
• Injury: As with any exercise, there is a risk of injury, particularly if instructions are not followed properly or pre-existing conditions are aggravated.ContraindicationsProteus Motion training may not be suitable for individuals with:
• Severe musculoskeletal conditions (e.g., acute joint pain, recent fractures).
• Uncontrolled cardiovascular or respiratory conditions.
• Recent surgeries without medical clearance.
• Severe balance or coordination issues.Preparation and Safety Guidelines
• Wear appropriate athletic clothing and footwear for exercise.
• Inform the trainer or technician of any pre-existing conditions, injuries, or concerns before starting.
• Warm up properly before the session to reduce the risk of strain.
• Follow all instructions carefully and use proper form during exercises.
• Stop immediately and inform the trainer if you experience pain, discomfort, or dizziness.DisclaimerProteus Motion is a fitness and performance tool designed to support training and rehabilitation. It is not intended to diagnose, treat, cure, or prevent any medical conditions. Always consult a healthcare provider before starting any new exercise program, especially if you have medical concerns or conditions.‌Purpose and Use
  

  MitoRed Light Bed

  Mito Red Light Therapy devices are FDA-registered, Class II general wellness devices designed to emit energy in the red and near-infrared (NIR) light spectrum. These devices promote tissue heating and cellular function to support overall health and wellness. Indications for use include:

• Temporary relief of minor muscle or joint pain

• Easing minor arthritic pain

• Relieving stiffness and muscle spasms

• Promoting relaxation of muscle tissue

• Temporary improvement of local blood circulation

  How It Works

  Mito Red Light Therapy utilizes red and NIR light to stimulate mitochondria—the energy centers of cells. This process supports energy production, reduces inflammation, and may have a range of beneficial effects, including improved skin quality, pain management, and enhanced performance. This therapy does not cure, diagnose, or prevent any medical conditions.

  Benefits

  Red light therapy may help support:

• Healthier skin

• Pain relief

• Enhanced cellular function

• Improved recovery and relaxation

  Possible Risks and Considerations

  While red light therapy is generally safe, potential risks include:

• Heat Generation: Minimal tissue heating occurs during use, which may not be suitable for individuals with conditions sensitive to heat.

• Light Sensitivity: Some individuals may experience irritation or sensitivity to light exposure.

• Tissue Stimulation: The therapy stimulates tissues, which may not be appropriate for certain conditions such as hyperthyroidism or active malignancies.

  Contraindications

  Absolute contraindications include:

• Recent burns (within 24–48 hours)

• Active malignant cancers

• Hyperthyroidism (neck/upper chest use)

• Epilepsy (consultation recommended if light flicker is a concern)

• Pregnancy (avoid use on the abdomen)

• Eye diseases (avoid direct eye exposure without medical approval) Relative contraindications include:

• Fever or infections

• Systemic lupus erythematosus (SLE)

• Severe bleeding or blood loss

• Use of photosensitizing medications

  Additional Considerations

  Factors such as tattoos, dark skin tones, or hyperpigmentation may impact results. Start with low-intensity treatments and gradually increase based on response.

  Disclaimer

  Mito Red Light devices are not clinically proven to diagnose, treat, cure, or prevent medical conditions. All results and benefits may vary. Consult your healthcare provider if you have medical concerns or conditions that may interact with red light therapy.

  EmSculpt Neo

  Emsculpt Neo® is a non-invasive treatment designed for:

• Fat reduction: Breaks down fat in the abdomen, thighs, and upper arms (specific to certain skin types).
• Muscle toning: Strengthens and firms abdominal muscles, buttocks, thighs, calves, and arms.
• Circumference reduction: Targets abdominal and thigh areas.

  Treatment Schedule

• Typically requires 4 sessions lasting 20-30 minutes each.

• Session intervals:

  • 5-10 days for HIFEM+RF Advance/Gentle protocol.
  • 2-3 days for HIFEM Classic protocol.

• Additional sessions may be recommended based on personal goals.

  Pre-Treatment Guidelines

• Stay hydrated.

• Wear comfortable, flexible clothing.

• Ensure the treatment area is shaved or trimmed.

• Avoid lotions, perfumes, or oils on the treatment area.

• Remove all metallic accessories and electronic devices before the session.

  During Treatment

• Expect intense muscle contractions and a warming sensation.

• Adjustments can be made if discomfort occurs.

• Treatment does not require anesthesia or recovery time.

  Post-Treatment Considerations

• Maintain hydration and a healthy diet to optimize results.

• Smoking, excessive alcohol, or ongoing medication may affect outcomes.

  Safety Notes

• Treatment is contraindicated for:

  • Pregnancy or postpartum conditions.

  • Metal implants, pacemakers, or electronic devices.

  • Acute inflammations, infections, or neoplastic conditions.

• Potential side effects: Muscle pain, redness, temporary spasms, and increased menstrual flow.

• Rare but possible risks include burns or no noticeable results.

  For further questions, consult your treatment provider for a complete list of contraindications and risks.

  This informational document is provided to assist in understanding the treatment process and expected outcomes for Emsculpt Neo®.

  CryoTherapy

  The Impact Cryosauna is a specialized wellness device designed to expose the body to extremely cold temperatures for short periods. This process, known as whole-body cryotherapy (WBC), may offer benefits such as reducing inflammation, promoting recovery, and supporting general wellness.

  How It Works

  During a cryotherapy session, the user enters the cryosauna, where the skin’s surface is briefly exposed to nitrogen-cooled air at temperatures ranging from -120°C to -150°C (-184°F to -238°F) for 2-3 minutes. This exposure triggers a physiological response aimed at enhancing circulation and releasing endorphins. Potential Benefits

• Reduced Inflammation: May help alleviate muscle soreness and joint pain.
• Enhanced Recovery: Supports recovery following physical exertion or injury.
• Improved Circulation: Stimulates blood flow and oxygenation.
• Mood Enhancement: Releases endorphins for improved well-being.

  Potential Risks and Considerations

  While generally safe when used correctly, cryotherapy poses some risks:

• Cold Burns or Frostbite: Prolonged or improper exposure to extreme cold can damage skin or tissues.
• Dizziness or Fainting: Rapid changes in temperature may cause lightheadedness.
• Exacerbation of Pre-existing Conditions: Conditions like Raynaud’s disease or circulatory disorders may be aggravated.
• Injury from Improper Use: Failure to follow safety instructions may increase the risk of harm.

  Contraindications

  Cryotherapy may not be suitable for individuals with the following conditions:

• Severe heart or circulatory disorders, including uncontrolled high blood pressure
• Cold allergies, Raynaud’s disease, or sensitivity to cold
• Recent cardiovascular events such as heart attack or stroke
• Respiratory conditions, including untreated asthma
• Pregnancy
• Nerve conditions affecting temperature regulation
• Open wounds or recent surgeries
• Severe anemia or other blood disorders

  Safety Guidelines

• Always wear protective garments, including socks, gloves, and undergarments, during the session.
• Sessions are limited to 2-3 minutes to prevent overexposure to extreme cold.
• Avoid entering the cryosauna if your skin is wet or sweaty.
• Notify the operator immediately if you feel discomfort, lightheadedness, or any adverse effects.
• Do not use the cryosauna without supervision by a trained technician.

  Disclaimer

  The Impact Cryosauna is intended for general wellness purposes and is not designed to diagnose, treat, cure, or prevent any medical condition. The benefits and risks of cryotherapy may vary among individuals. Always consult a healthcare provider before use, especially if you have pre-existing medical conditions.‌

  Treadmill

  A treadmill is a versatile fitness device designed for walking, jogging, and running in a controlled indoor environment. It is widely used for cardiovascular exercise, endurance training, and overall physical fitness. Treadmills can be adjusted for speed and incline to accommodate various fitness levels and goals.

  How It Works

  The treadmill’s moving belt simulates natural walking or running motion, allowing users to control intensity and duration. Features such as incline adjustments and pre-set workout programs provide a customizable experience.

  Benefits

• Cardiovascular Fitness: Supports heart health and improves endurance.
• Weight Management: Helps burn calories and promote weight loss.
• Muscle Strengthening: Engages leg, core, and stabilizing muscles.
• Convenience: Allows for exercise regardless of weather or outdoor conditions.

  Potential Risks and Considerations

  While the treadmill is designed for safe use, there are risks involved if not operated properly:

• Falls: Losing balance or stepping off the moving belt may result in injury.
• Overexertion: Pushing beyond personal limits can lead to fatigue, dizziness, or strain.
• Improper Use: Incorrect settings or technique may cause muscle strain or joint discomfort.
• Sudden Stops or Accelerations: Abrupt changes in speed or incline can increase the risk of injury.

  Contraindications

  The treadmill may not be suitable for individuals with:

• Severe joint or musculoskeletal issues
• Recent injuries or surgeries without medical clearance
• Cardiovascular or respiratory conditions requiring monitoring during exertion
• Balance or coordination impairments
• Pregnancy without physician approval

  Safety Guidelines

• Use the treadmill in a clear, stable area with sufficient space around the machine.
• Familiarize yourself with the controls, including the emergency stop mechanism, before use.
• Begin at a slow speed and gradually increase intensity as you become comfortable.
• Always wear proper footwear with adequate support and avoid loose clothing.
• Maintain a natural stride and avoid looking down or holding the side rails for extended periods.
• Stay hydrated and stop immediately if you feel faint, dizzy, or unwell.

  Disclaimer

  The treadmill is intended for fitness and training purposes only and is not designed to diagnose, treat, cure, or prevent any medical condition. Users should consult their healthcare provider before starting a new exercise program, particularly if they have any pre-existing health conditions.‌

  Skier’s Edge

  The Skier’s Edge machine is a specialized training device designed to enhance balance, strength, coordination, and cardiovascular fitness. Mimicking the motions of skiing, this low-impact exercise tool helps users develop core stability and improve overall fitness in a controlled indoor environment. It is suitable for recreational fitness enthusiasts, skiers seeking off-season training, and individuals aiming to improve agility and endurance.

  How It Works

  The Skier’s Edge machine utilizes a dynamic side-to-side motion that simulates the movements of skiing. Users control the intensity and range of motion, allowing for personalized workouts that cater to various fitness levels and training goals.

  Benefits

• Improved Balance and Coordination: Develops stability by engaging core and lower body muscles.
• Strength Training: Targets leg, glute, and core muscles to enhance strength and endurance.
• Cardiovascular Fitness: Provides an effective cardio workout while being low-impact on joints.
• Skiing Skill Development: Improves technique, muscle memory, and endurance for skiing enthusiasts.

  Potential Risks and Considerations

  While the Skier’s Edge machine is designed to be safe for a wide range of users, the following risks should be considered:

• Improper Use: Incorrect positioning, technique, or setup can lead to muscle strain, joint discomfort, or falls.
• Overexertion: Excessive use or ignoring personal physical limits may result in fatigue or injury.
• Pre-existing Conditions: Individuals with balance issues, joint problems, or other health concerns may be at a higher risk of injury.
• Falls: The dynamic movement of the machine may pose a risk of losing balance, particularly for beginners or those unaccustomed to the motions.

  Contraindications

  The Skier’s Edge machine may not be suitable for individuals with:

• Severe joint or musculoskeletal conditions
• Recent surgeries or injuries without medical clearance
• Balance disorders or vertigo
• Uncontrolled cardiovascular conditions
• Pregnancy without physician approval

  Safety Guidelines

• Use the machine on a stable surface in a safe environment with adequate space.
• Always maintain proper posture and technique during use.
• Adjust the machine’s settings to match your skill level and fitness goals.
• Beginners or individuals with physical limitations should seek guidance from a trained professional.
• Wear appropriate footwear and avoid loose clothing that may catch in the equipment.

  Disclaimer

  The Skier’s Edge machine is not intended to diagnose, treat, cure, or prevent any medical condition. This device is for fitness and training purposes only. Users should consult their healthcare provider before starting any new exercise program, particularly if they have pre-existing health conditions.

  ‌Vasper

  The Vasper System is an exercise apparatus that integrates core cooling, mild compression of the arms and thighs, and negative grounding. It is used alongside traditional exercise machines to support physical activity. The Vasper System is not intended to be a medical device and does not diagnose, treat, cure, or prevent any disease.

  Safety and Health Acknowledgment

  Exercise using the Vasper System may carry certain inherent risks, including but not limited to:

• Bruising (contusions)

• Muscle injury (rhabdomyolysis)

• Vascular injury (e.g., arterial wall irritation, venous blood clots, phlebitis)

• Elevated blood pressure (hypertension)

• Irregular heartbeat (arrhythmia)

• Appearance of tiny red spots on extremities after exercise (petechiae)

  Medical and Physical Condition Advisory

  Use of the Vasper System may not be suitable for individuals with certain health conditions. These include but are not limited to:

• History of blood clots or current issues with blood clotting (e.g., deep vein thrombosis or arterial thrombosis)

• Tendency toward easy bruising (contusions)

• Current use of blood thinners (anticoagulants)

• Moderate to severe high blood pressure (hypertension)

• Unstable heart disease (e.g., angina, congestive heart failure, coronary heart disease)

• History of small strokes (transient ischemic attack, cerebral vascular accident)

• Diabetic-induced eye disease (diabetic retinopathy)

• High intraocular pressure or glaucoma

• Peripheral arterial disease or other arterial obstructions affecting blood flow

• Cold hands and feet (acrocyanosis)

• Pregnancy

• Active cancer

• Osteoporosis

This document serves to inform you of the Vasper System’s nature and potential risks. Please consult with your healthcare provider if you have questions about whether the Vasper System is right for you.

PNOE

PNOĒ is a state-of-the-art metabolic analysis system designed to assess an individual’s respiratory, cardiovascular, and metabolic health. By analyzing your breath during exercise and at rest, the PNOĒ system provides insights into your fitness level, calorie burn, lung function, and other vital aspects of overall health and performance. This information supports personalized training, nutrition plans, and health optimization strategies.

How It Works

The PNOĒ system uses a portable device that measures oxygen intake and carbon dioxide output. During the assessment:

• You will breathe through a specialized mask connected to the PNOĒ analyzer.
• The assessment typically involves both rest and physical activity, such as walking or running on a treadmill or cycling.
• Results provide data on fitness metrics such as VO2 max, fat and carbohydrate utilization, and lung efficiency.

  Potential Benefits

• Fitness Evaluation: Understand your current fitness level and track improvements over time.
• Optimized Training: Tailor exercise programs to your specific needs and goals.
• Nutritional Insights: Determine daily calorie needs and macronutrient requirements.
• Health Monitoring: Identify potential issues such as breathing inefficiencies or imbalances in metabolic function.

  Potential Risks and Considerations

  While the PNOĒ assessment is non-invasive and generally safe, there are potential risks and considerations:

• Discomfort: Breathing through a mask may feel restrictive for some individuals.
• Fatigue or Shortness of Breath: Exercise testing may lead to temporary fatigue or breathlessness.
• Injury: Physical activity during the test may increase the risk of musculoskeletal strain if proper form is not maintained.
• Exacerbation of Medical Conditions: Individuals with certain conditions (e.g., respiratory or cardiovascular disorders) should consult a healthcare provider before undergoing the test.

  Contraindications

  The PNOĒ assessment may not be suitable for individuals with the following conditions unless cleared by a healthcare provider:

• Severe respiratory or cardiovascular conditions (e.g., COPD, asthma, or heart disease).
• Recent injuries or surgeries affecting mobility.
• Uncontrolled high blood pressure.
• Acute illnesses such as infections or fever.

  Preparation and Safety Guidelines

• Avoid heavy meals, alcohol, or caffeine for at least 3 hours before the assessment.
• Wear comfortable clothing and appropriate footwear for physical activity.
• Notify the technician of any pre-existing conditions, medications, or concerns.
• Follow the technician’s instructions during the assessment to ensure accurate results and minimize risks.

Disclaimer

The PNOĒ system is a wellness tool designed to provide metabolic and fitness data. It is not intended to diagnose, treat, cure, or prevent any medical condition. Consult with a healthcare provider for any medical concerns or conditions.

‌Infrared Sauna

1. The use of drugs, medication or alcohol prior to or during the full spectrum infrared sauna session may lead to dizziness or unconsciousness. Clients using any medications must consult a physician or pharmacist prior to the use of the sauna.

2. Please consult your physician if you are in doubt of your ability to use the full spectrum infrared sauna for health reasons.

3. No one under the age of 18 is permitted in the full spectrum infrared sauna unless accompanied by a supervising adult.

4. Discontinue the use of the sauna if you feel light-headed, dizzy, or heat exhausted.

5. Sauna sessions should be limited to no more than 45 minutes and temperatures must stay below 165 degrees Fahrenheit.

6. Plastic water bottles are not permitted in the sauna.

7. Pregnant women should consult their physician prior to the use of the sauna. Excessive body temperatures have a potential for causing fetal damage during the early days of pregnancy.

I acknowledge and voluntarily assume the risk of injury, accident, or death which may arise from the use of an infrared sauna. I, on behalf of myself and any of my heirs, executors, representatives, or assignees, hereby waive and release all claims or liabilities for personal injury or property damages of any kind sustained while on the premises, during the use of the full spectrum infrared sauna and from any advice provided by an employee, independent contractor, or any representative. I agree that this Application and Waiver is in effect for all infrared sauna sessions and will not expire unless specifically requested by either party.

‌ARX

The Adaptive Resistance Exercise (ARX) Alpha machine is a state-of-the-art strength training device designed to provide personalized, efficient, and safe exercise sessions. By leveraging adaptive resistance technology, the ARX machine matches your unique strength capabilities in real-time, ensuring optimal engagement of your muscles during every phase of each movement.

How It Works

The ARX Alpha machine uses motorized resistance to dynamically adjust to the user’s force output, eliminating the risks associated with traditional weight-based equipment. This enables precision in strength training without relying on static weights, which can present a greater risk of injury.

Potential Risks and Considerations

While ARX technology is designed with safety as a priority, the following considerations apply:

• Muscle Fatigue or Soreness: As with any resistance exercise, muscle soreness may occur, especially for new users.
• Overexertion: Although the machine adapts to your force output, users should communicate any discomfort or fatigue during sessions.
• Improper Use: Failure to follow proper form, technique, or instructions may increase the risk of strain or injury.
• Medical Conditions: Individuals with pre-existing conditions such as cardiovascular issues, joint problems, or recent injuries should consult their healthcare provider before using the ARX Alpha machine.

  Contraindications

  The ARX Alpha machine may not be suitable for individuals with:

• Uncontrolled high blood pressure
• Severe musculoskeletal injuries or impairments
• Recent surgeries without medical clearance
• Pregnancy without physician approval

  Additional Considerations

• Proper form and technique are critical to ensuring the effectiveness and safety of each session.
• Sessions should be conducted under the guidance of a trained professional, particularly for beginners or those with specific health concerns.
• Hydration and appropriate warm-up exercises are encouraged before using the ARX machine.
• Misuse of the equipment or exceeding personal limits may result in injury; it is crucial to follow all provided instructions and guidelines.

Disclaimer

The ARX Alpha machine is not intended to diagnose, treat, cure, or prevent any medical condition. All exercise regimens, including those using ARX technology, should be undertaken with appropriate consideration of personal health status and fitness goals.

Acknowledgment

By proceeding with the use of the ARX Alpha machine, you acknowledge understanding the benefits, potential risks, and contraindications outlined in this document. Proper usage is essential to minimize the risk of injury, and users should follow all instructions provided by trained professionals. Consult your healthcare provider with any concerns regarding your suitability for adaptive resistance exercise.

Medical Aesthetics

‌GlO2 Oxygen Facial

Understanding of Treatment and Potential Risks

• Discomfort: Minor discomfort may occur during the treatment.
• Redness and Irritation: Redness and irritation may arise following the treatment. Clients are advised to inform their provider before attempting any home remedies if these symptoms occur.
• No Guarantee of Results: As with any aesthetic procedure, results cannot be guaranteed.
• Maintenance Treatments: Monthly maintenance treatments are recommended for optimal results.
• Pre- and Post-Care Compliance: Adherence to pre- and post-care instructions provided by the treatment provider is essential.Medical History and Skin Condition Disclosure

• All over-the-counter (OTC) or prescription medications in use should be disclosed, and the client should not be currently using isotretinoin (Accutane).

• Any recent facial procedures, injections, chemical peels, or skin treatments should be disclosed.

• Any OTC product or prescription medication used topically or ingested should be shared with the provider if not already disclosed.

• Clients should not currently be pregnant or breastfeeding.

• Clients should not have recently undergone radioactive or chemotherapy treatments, nor have a recent sunburn, windburn, or broken skin.

• Clients should not have recently waxed or used depilatory products (such as Nair) on the treatment area.

• Individuals with a history of keloidal scarring, excessive telangiectasia, rosacea, bacterial, fungal, or viral skin infections, open lesions, active acne, autoimmune disease, or any condition that could interfere with treatment should inform their provider.

  Post-Treatment Responsibilities

• Home Care: Following home care instructions is vital to minimize or prevent any adverse reactions.
• Sun Protection: Use of SPF and avoiding sun exposure, tanning booths, and extreme weather are necessary for post-treatment care.
• Questions and Concerns: For any further questions or concerns about the treatment or post-treatment care, consulting with the provider promptly is encouraged.Photography for Treatment Monitoring

• Photographs may be taken to document baseline skin condition and track treatment effects. Photos will be kept private unless the client provides consent for release.

Acknowledgement of Risks and Consent

Clients should consider the potential for both known and unknown risks, complications, and limitations before proceeding with treatment.

Statement of Understanding

The above points represent full disclosure, superseding any previous verbal or written disclosures. This information is provided to ensure that clients have a clear understanding of the treatment and are making an informed decision regarding the Glo2Facial.

Laser Hair Removal

1. Informed Consent. The purpose of this Informed Consent is to help you decide whether a laser hair removal (“LHR”) cosmetic procedure is right for you and to help you make an informed decision to undergo this procedure. This Informed Consent gives you general information about LHR cosmetic procedures, explains other treatment options, and identifies the benefits, risks, side effects and possible complications associated with LHR procedure
2. Laser Hair Removal Procedure. LHR is a non-invasive laser treatment designed to remove unwanted hair from all parts of the body. The laser device works by emitting pulses of light energy that penetrate the skin and destroy hair follicles while the device’s handpiece cools the surrounding skin. Because the laser needs to fill the hair follicle to work effectively, it is important not to wax, tweeze, have electrolysis procedures or pluck hair for 2-4 weeks prior to the procedure. You will be required to wear protective eye glasses during the procedure to protect your eyes from the laser light. You may feel a slight burning, stinging or pinching sensation during the procedure. It generally takes 10 to 21 days after the procedure for the treated hair to fall out. Treatment of dark coarse hair generally achieves the best results while removal of light fine hair generally requires additional treatments which may or may not be successful. Clinical results of LHR may also vary depending on individual skin type, hormonal levels and hereditary influences. Therefore, some patients may experience partial results and some may notice no improvement at all. Future hormonal changes may cause additional hair growth. LHR procedure generally involves a series of treatments. Ideal (light skin/dark hair) candidates can usually achieve 65%-90% reduction with a series of 6 treatments. Thicker skinned areas such as mens backs, faces or neck usually require more than 6 sessions and usually achieve only partial reduction or hair thinning 3. Alternative Procedures. LHR is a voluntary cosmetic procedure which is not necessary or required. . 4. Not Good Candidates. Generally you are not a good candidate for LHR procedure if you are pregnant, nursing or plan to become pregnant while undergoing LHR treatments. Individuals who have used Accutane within the past six months or who used any medications requiring limited exposure to sunlight are not good candidates for LHR procedure. Individuals with recently tanned skin are advised to delay undergoing the LHR procedure. The laser may not be effective on blond or gray hair. Sun exposure 2-4 weeks prior to treatment may reduce effectiveness of the laser. It is important to shave the area prior to the treatment session. (we do not provide shaving services as you must do this yourself prior to the treatment). Please inform us if you have an allergy to Aloe

1. Risks and Complications. All medical and cosmetic procedures are associated with certain risks and may result in complications. Possible risks and complications associated with LHR procedure include:Temporary reddening, burning, swelling, bruising or discoloration of the skin over the treated area.Blistering, scarring, activation of cold sores, infection or permanent discoloration, which may occur in rare cases. Please inform us if you have ever had a problem with cold sores. Folliculitis, which is an infection of the hair follicle, which may take several days to resolve. Hyperpigmentation (darkening of the skin) or hypopigmentation (lightening of the skin), which rare may take several months to fully resolveCrusting or blistering of the area exposed to laser, which is rare and which may take several days to heal. As with all LHR procedures, some re-growth of hair may occur after treatment sessions are completed.
2. Post Procedure Instructions. It is important that you comply with all post procedure instructions. In addition, it is important that you limit sun exposure after the LHR procedure and use protective sunscreen lotion. . Please call your doctor promptly if complications develop after the procedure. Laser-treated areas should no be exposed to sun or tanning beds Not adhering to the post treatment skin care instructions may increase the risk of complications.By signing this Informed Consent, you understand and agree as follows (check all that apply):The information contained in this Informed Consent was explained to me using terms I could understand, and all my questions and concerns have been answered.. After reviewing all the information provided to me about cosmetic procedures and reviewing my health status, I believe I am a good candidate for LHR procedure.I understand that LHR is an elective procedure and hereby freely accept all possible risks, complications and side effects that may result from this procedure.I acknowledge that the LHR procedure will be performed by an employee of Medical Cosmetic Enhancements, who is properly trained and certified in its usage.I agree to return for any recommended follow up visits and follow all post-procedure instructionsI understand that no guarantees have been made to me regarding the outcome of the LHR procedure.This consent form is valid for all future laser hair removal treatments performed, and if I will alert the staff if there are any future changes to my medical history, or if I become pregnant.
   

   ‌BBL

   I consent to and authorize Medical Cosmetic Enhancements to perform IPL treatments on me. Phototherapy, despite its high levels of efficacy and safety, is not free of side effects. It is important to understand, your first treatment session will be at a more conservative treatment level for the safety of your skin. Subsequent treatments may increase the treatment energy for increased efficacy, but can also increase the potential of unwanted side effects. Ideally we will obtain a treatment level which is ideal for your skin, but we error on the side of safety first:

   • Erythema (redness), edema (swelling) and a mild burning sensation much like a sunburn can occur but usually subsides within a few hours
   • Pigmentary changes such as hyper pigmentation (darkening) and hyperpigmentation (lightening) of the skin in the treatment areas can occasionally occur. Most are transient, lasting up to six months, but in rare cases it can be permanent. Pre existing Dark areas/moles will turn darker and may take a few days to flake off
   • Other known but rare complications of this procedure include scaring, keloids, blisters, reddening, bruising, superficial crusting, burns, pain, and infections. Any source of light can activate herpetic lesions. If you have a history of viral sores, please inform our staff so we may prescribe antiviral medication. You may have an outbreak even if you have no history of viral lesions.
   • Additionally, there is a known and expected loss of hair in the treated areas. In a very small percentage of people there is new hair growth in the surrounding areas being treated. Even though appropriate measures are taken to reduce side effects, they cannot be completely eliminated in every case.
   • l understand that the treatment may involve risks of complications or injuries from both known and unknown causes, and I freely assume these risks. There may be other treatment options, such as injections, other types of lasers/light sources or peels. With this in mind, I am choosing this noninvasive treatment for vascular and/or pigment lesions and other indicated skin conditions.
   • Eye damage can occur from the light and therefore protective eyewear must be worn during all phototherapy sessions.

   Generally you are not a good candidate for IPL procedure if you are pregnant, nursing or plan to become pregnant while undergoing IPL treatments. Individuals who have used Accutane within the past six months or who used any medications requiring limited exposure to sunlight are not good candidates for IPL procedure. Individuals with recently tanned skin are advised to delay undergoing the IPL procedure. Those with very dark skin types may be deemed a non candidate.PLEASE LET THE STAFF KNOW IF YOU HAVE BEEN PRESCRIBED ACCUTANEMEDICATION in the prior 6 months or currently using prescribed tetracycline.

   ‌DermaPlane

Treatment Description: You are receiving an exfoliation treatment using a sterile surgical blade, designed to improve skin texture and appearance.

Possible Side Effects: Potential side effects include, but are not limited to:

Skin tightness

Mild to moderate redness

Mild flaking

Possible minor nicks or abrasions

Vellus Hair Removal: This procedure removes most, though not all, vellus hair (commonly known as peach fuzz).

Individual Results: Results from this treatment may vary depending on factors such as age, skin condition, sun damage, and environmental factors.

Cosmetic Nature of Treatment: This treatment is cosmetic in nature, and no medical claims are expressed or implied.

Sun Exposure: Direct sun exposure, including tanning beds, is not recommended during the course of this treatment. Daily sunblock protection is mandatory.

Facial Injections: Avoid facial injections for at least 10 days before this treatment.

Product Use: Do not use Retin-A for at least three days before this treatment.

Post-Treatment Questions: Contact your practitioner if you have any questions or concerns about this treatment.

Exercise: You are advised not to exercise immediately after this treatment.

HydraFacial Keravive

HydraFacial Keravive is a specialized and soothing scalp treatment designed to cleanse, nourish, and hydrate the scalp, promoting fuller, healthier-looking hair. Results may vary from person to person based on individual scalp and hair characteristics.

Precautions and Expected Sensations

• Temporary scalp irritation, tightness, or redness may occur. These reactions are normal and typically resolve within 72 hours, depending on scalp sensitivity.
• Slight tingling or stinging sensations in the treated area are possible and usually subside within a few hours.
• The experience and timing of any symptoms may vary, and some clients may experience delayed onset of reactions.
• The scalp may be more susceptible to sunburn or sun damage post-treatment. Using a minimum of SPF 30 sunscreen, protective clothing, and accessories is recommended to minimize sun exposure.Contraindications

  This treatment may not be suitable for individuals with certain conditions or recent procedures, including but not limited to:

• Autoimmune Conditions: Conditions such as HIV, lupus, hepatitis, or scleroderma
• Scalp Conditions: Conditions such as eczema, dermatitis, or rashes
• Active Infection: Infection in the treatment area
• Suspected Malignancy: Melanoma or suspicious lesions
• Sunburn: Active sunburn
• Pregnancy or Lactation
• Anticoagulant Therapy
• Neurological Conditions: Conditions such as epilepsy
• Urinary System Infections: Including infections in the kidneys, bladder, or urethra
• Autoimmune Conditions: Conditions such as Crohn’s disease
• Hormonal Conditions: Conditions such as hyperthyroidism
• Circulatory Conditions: Conditions such as deep vein thrombosis or lymphedema
• Active or Inflammatory Acne Recent Medications or TreatmentsCertain recent medications or treatments may also affect suitability, including:
• Use of Minoxidil (Rogaine) or similar topical products
• Hair coloring or extensions
• Use of Propecia or similar medications/supplements
• Recent PRP treatments or hair transplantsAdditional Acknowledgments
• Photos may be taken before, during, and after treatment. Photos will be used only for educational, promotional, or advertising purposes with prior written approval.Consent Confirmation

  The provided information has been reviewed, and any questions have been answered satisfactorily.

  ‌HydraFacial

  HydraFacial is a hydradermabrasion procedure combining cleansing, exfoliation, extraction, hydration, and antioxidant protection, aimed at clearer, more radiant skin with minimal downtime. This treatment is known for being soothing, moisturizing, non-invasive, and generally non-irritating. However, individual results may vary.

  What to Expect

• Temporary skin irritation, tightness, or redness may occur and typically resolves within 72 hours, depending on skin sensitivity.
• Tingling or stinging sensations in the treated area are possible and generally subside within a few hours.
• Results are often visible immediately after treatment, with a smoother, hydrated feel that can last one to four weeks with appropriate home care.
• Sun sensitivity may increase, so it is recommended to avoid excessive sun exposure and use SPF 40 sunscreen or higher.Pre-existing Conditions

  HydraFacial treatment may not be suitable for individuals with certain conditions, including but not limited to:

• Active acne, infections, or open lesions
• Cold sores, sunburn, eczema, dermatitis, or other skin conditions
• Autoimmune diseases (e.g., lupus) or viral infections (e.g., HIV, hepatitis)
• Those undergoing anticoagulant therapy or with suspected malignant lesions
• Pregnant or lactating individuals
• Neurological disorders like epilepsy (for LED light exposure)
• Certain conditions related to lymphatic drainage, such as infections in the urinary system, Crohn’s disease, hyperthyroidism, deep vein thrombosis, or lymphedemaMedication and Treatments

  HydraFacial may be contraindicated for individuals who:

• Have recently used Accutane, topical medications, or antibiotics
• Have had recent aesthetic fillers, injectables, or laser treatmentsPost-Treatment Care
• Avoid aggressive exfoliation, waxing, or products containing glycolic acids or retinols that are not part of the recommended regimen for at least two weeks before and after treatment.
• Photos may be taken before, during, and after treatment and will only be used for educational, promotional, or advertising purposes with prior written consent.

Acknowledgment

By proceeding, the client confirms understanding of the information provided and consents to receive HydraFacial treatments. This consent applies to all future HydraFacial treatments, with the understanding that any changes to medical history will be communicated to the staff.

SkinPen MicroNeedling

Description of the Procedure
SkinPen® Precision is an FDA-cleared microneedling device clinically proven to improve the appearance of facial acne scars in individuals aged 22 and older. It is also effective in reducing the appearance of wrinkles on the neck. This minimally invasive procedure uses a sterile needle head to create controlled micro-injuries in the skin, stimulating the body’s natural healing process. Each session typically lasts 30-60 minutes, depending on the treatment area.

Side Effects
Common side effects include:

• Redness and a flushed appearance, resembling a moderate sunburn.
• Skin tightness and mild sensitivity in the treated area.
  These effects usually subside significantly within hours and resolve almost entirely within 24 hours. In rare cases, mild evidence of the procedure may last up to three days.

Contraindications
SkinPen® Precision should not be used if:

• You have active skin cancer in the treatment area.
• You have open wounds, sores, or irritated skin in the treatment area.
• You have an allergy to stainless steel or anesthetics.
• You have a hemorrhagic disorder or bleeding dysfunction.
• You are pregnant or nursing.
• You are taking medications containing isotretinoin (e.g., Accutane).

Precautions and Warnings

• The safety and effectiveness of microneedling settings greater than 1.5 mm have not been evaluated for facial treatments.
• Universal precautions must be followed during microneedling.
• Microneedling should not be performed within the orbital rim (eyelid area).
• This system is not intended for transdermal delivery of topical products, such as cosmetics, drugs, or biologics.

Patient Populations Not Evaluated
The safety and effectiveness of SkinPen® have not been established for individuals with:

• Actinic keratosis (solar damage).
• Active acne or chronic skin conditions such as eczema or psoriasis in the treatment area.
• Collagen vascular diseases or cardiac abnormalities.
• Diabetes.
• History of contact dermatitis.
• Raised moles in the treatment area.
• Rosacea, active bacterial, fungal, or viral infections (e.g., herpes, warts).
• Keloid scars or scars outside original boundaries.
• Use of anticoagulant medications.

This information is provided to ensure you are fully informed about the procedure, its benefits, and potential risks.