Scribd Logo
Upload

Welcome to Scribd!

  • 119 views

    Electrolysis Consent Form: What To Expect

    Uploaded by

    GGenZ Consulting
    This document provides information about electrolysis hair removal treatments. It describes three main types of electrolysis - galvanic, thermolysis, and blend - and explains how each works to destroy hair follicles using electric current or heat. It notes that electrolysis is a process that typically requires multiple treatments over 3-12 months to achieve permanent hair reduction results. Some potential side effects are also outlined such as redness, swelling, and bruising. The document concludes with an acknowledgement for clients to sign consenting to the electrolysis treatments.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Electrolysis Consent Form: What To Expect

    Uploaded by

    GGenZ Consulting
    119 views2 pages
    This document provides information about electrolysis hair removal treatments. It describes three main types of electrolysis - galvanic, thermolysis, and blend - and explains how each works to destroy hair follicles using electric current or heat. It notes that electrolysis is a process that typically requires multiple treatments over 3-12 months to achieve permanent hair reduction results. Some potential side effects are also outlined such as redness, swelling, and bruising. The document concludes with an acknowledgement for clients to sign consenting to the electrolysis treatments.

    Original Title

    electrolysis

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document provides information about electrolysis hair removal treatments. It describes three main types of electrolysis - galvanic, thermolysis, and blend - and explains how each works to destroy hair follicles using electric current or heat. It notes that electrolysis is a process that typically requires multiple treatments over 3-12 months to achieve permanent hair reduction results. Some potential side effects are also outlined such as redness, swelling, and bruising. The document concludes with an acknowledgement for clients to sign consenting to the electrolysis treatments.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    119 views2 pages

    Electrolysis Consent Form: What To Expect

    Uploaded by

    GGenZ Consulting
    This document provides information about electrolysis hair removal treatments. It describes three main types of electrolysis - galvanic, thermolysis, and blend - and explains how each works to destroy hair follicles using electric current or heat. It notes that electrolysis is a process that typically requires multiple treatments over 3-12 months to achieve permanent hair reduction results. Some potential side effects are also outlined such as redness, swelling, and bruising. The document concludes with an acknowledgement for clients to sign consenting to the electrolysis treatments.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Electrolysis Consent Form

    Electrolysis treatments are a form of electrical epilation where a wire filament is inserted into the hair
    follicle and a minimal amount of current is delivered to the root of hair to destroy it through a variety of
    modalities. All modalities will treat only the offending hair follicle, making this a non-invasive and more
    direct route to target unwanted hair.

    Galvanic Electrolysis - Galvanic electrolysis is the oldest type for of this hair removal. The direct current
    used extremely effective but very slow. It creates a chemical change in the follicle to disable the root.

    Thermolysis Electrolysis – Thermolysis uses shortwave radio frequency or AC current. Thermolysis


    causes the water molecules by your hair to rapidly vibrate, which produces heat. When enough heat is
    created, thermolysis damages the cells that cause hair growth.

    Blend Electrolysis – True to its name, blend combines both galvanic and thermolysis in one treatment. If
    one type of electrolysis doesn’t kill your unwanted hair the other will.

    What To Expect
    Our hair is constantly changing from a number of factors that make us who we are, it’s in our DNA. It is
    this diversity that makes proper hair removal through electrolysis a process. As our body reacts to
    different situations such as hormones, medications, weight and even our genes, our hair growth pattern
    changes and may activate dormant hair follicles. The complex nature of hair growth controls the number
    of sessions required to reach your personal preference of hair removal.

    Generally, electrolysis is typically noticeable within 3 months and can take up to 12 months for complete
    and permanent results. We offer sessions from 15 minutes to an hour and recommend a weekly
    schedule so we make treat the follicle right when it emerges and at its optimal time for reaction.
    Southeastern Esthetics Institute’s goal is to see this process though to ensure complete satisfaction.
    Each individual has a different tolerance level, and that is taken into account. Modern electrolysis
    methods can be described as causing a tingling or warming sensation, but is considered to be
    comfortably tolerable. Topical desensitizing creams can be applied to help ease the sensation. After your
    treatment, it is common to experience redness or swelling, both of which are usually short lived. These
    are both natural reactions from the stimulus applied the follicle and can be eased with the use of an ice
    pack and witch hazel. In order to prevent any additional reaction, it is critical that you inform us of any
    medical conditions, medications, supplements, lotions and oils.

    Revised June 2017


    Acknowledgement

    ____ I understand that the treatment is not guaranteed due to risks of complications, both known and
    unknown to the technician and myself.

    ____ I understand that the results are reliant on the accuracy of information I have provided
    Southeastern Esthetics Institute regarding my medical history and my adherence to proper before and
    after care.

    ____ I understand that possible side effects may include, but are not limited to:

    o Inflammation of the hair follicle

    o Edema (swelling)

    o Purpura (bruising)

    o Redness directly after treatment

    o Change in pigmentation

    o Small blisters and/or pinpoint bleeding (possible scarring if these are aggravated)

    ____ I understand that the frequency and longevity of treatments is determined solely by my body’s
    natural hair growth and therefore not predetermined.

    I acknowledge that I read, understand and accept the terms above regarding electrolysis hair removal
    treatment. I hereby consent to and authorize Southeastern Esthetics Institute to perform electrolysis
    hair removal treatments and related before and after treatment services on me.

    Client Signature ________________________________________________ Date _______________

    Practitioner Signature ____________________________________________ Date _______________

    Physician Signature _________________________________________________ Date ____________

    Revised March 2018

    You might also like