ResurFX Treatment Informed Consent/ Medical History
Please read and initial each statement. Complete, underline or circle individual selection accordingly.
I agree to review the laser pre-treatment compliance checklist below along with my Technician and bring accurate and updated data, to the best of my knowledge.
My signature certifies that I have duly read and understood the content of this informed consent form and gave the accurate information as to my health condition. I hereby freely consent to ResurFX™ laser treatment.