I authorize and consent to the treatment treatment with the Ultralight Light Therapy System.
I have been advised by TNP of the purported advantages and disadvantages associated with this treatment.
I understand that treatments with the Ultralight LED Light Therapy System varies from patient to patient and that more than 1 treatment may be required.
Although rare, adverse outcomes such as redness of the skin, swelling, tenderness, hives, and itching can occur.
No guarantees have been made to me regarding the outcome of the treatment or any improvements in my condition due to the procedure.
I understand that the possible benefits are the reduction of inflammation, pigmentation, and acne; increased collagen, blood circulation, and cellular regeneration; circumferential reduction.
Due to the brilliance of the Ultralight LED Light, I agree to wear eye protection to shield my eyes.
I have been given the opportunity to ask questions and have received satisfactory answers to those questions.
I hereby authorize the taking of photographs. These photographs may be used to demonstrate the results this LED light produces.
I hereby indemnify and hold harmless Rohrer Aesthetics, LLC, the treating technician and TNP from any and all liability, damages, cost, and expenses arising from the use of the Ultralight LED Light Therapy System for the treatment of inflammation, pigmentation, and acne; increased collagen, blood circulation, and cellular regeneration; circumferential reduction.
With all of the above information understood, I am choosing to be treated with the Ultralight LED Light Therapy System.
