I duly authorize Canvas Aesthetics (Pty) Ltd to perform the Elase treatment.
I understand that Elase is an approved technology consisting of radio frequency and laser light (elos) and is used for long term hair reduction of which I hereby consent to be a client receiving the Elase treatment on the specified area above.
I understand that clinical results may vary depending on individual factors, including medical history, skin type, client compliance with pre/post treatment instructions and individual response to treatments.
I confirm that I have informed the staff regarding any current or past medical condition, disease or medication taken and that the list of contraindications has been fully explained to me. I also undertake to inform the staff of any changes to my medical condition or medication taken during the course of my treatment or any further future treatments.
I understand that there is a possibility of temporary Short-Term Effects which have been fully explained to me:
I have been fully informed and understand:
I confirm and understand that the Pre-Treatment Protocols have been fully explained to me and are important and advisable for the desired outcome and that I undertake to / have adhered to these requirements prior to my treatment.
I confirm and understand that the Post-Treatment Protocols have been fully explained to me and I will adhere to these requirements after my treatment. I also acknowledge and understand that Maintenance and additional Home Care Routines are advisable for effective and long-lasting results.
I understand the importance of Before and After Photographs and consent to the following:
I have read and fully understand the contents of this consent form.