Please enable JavaScript in your browser to complete this form.The information I have given is correct to the best of my knowledge, and I have not withheld any know medical state or condition. I will inform the IPL/LASER technician before treatment if there has been any change (for example in my medications taken) I understand that the results from this treatment vary considerably and a small percentage of people will not respond depending on your hair type satisfactory to the treatment. I understand that multiple treatments are necessary to get the best results as the amount of treatments will vary from client to client. I understand there is no guarantee of permanent results and maintenance treatment may be necessary. I understand that I must avoid sun exposure on the treated area for the duration of the treatment for up to 1 month afterwards or a use of high sun protection factor to avoid sun damage. I understand that tanned skin cannot be treated. I understand that there may be short – term side effects such as reddening, brushing, swelling, mild burning, hypo pigmentation ( lightening of the skin) or hyper pigmentation (darkening of the skin) as well as a rare side effect or scaring and permanent discolouration . I understand that pigmentation areas caused by damage may initially turn darker .This will be followed by micro –crusting of the lesion, after which will flake away without leaving damage or pigmentation. I understand that I must wear protective goggles which will protect my eyes any from possible damage due to the light. I have read and understood all the information and my questions have been answered satisfactory before signing the consent form I consent to the terms of this agreement I also agree that The Laser Clinique have the rights not to refund after 14 day of purchase *I acceptDo you consent *YesNoEmailSubmit