Informed Consent for Laser Tattoo Removal

As a client you have the right to be informed so that you may make the decision whether to proceed with Laser Tattoo Removal or decline after knowing the risks involved.
This disclosure is to help to inform you about the risks, side effects and possible complications related to laser tattoo removal prior to your consent.

I give full consent to and authorise Flashback Laser Tattoo Removal and members of their staff to perform multiple laser procedures and related services on me. The procedure planned uses laser technology for the removal of tattoos.

I am undertaking the procedure, and I am prepared to take full responsibility upon myself for this procedure and all the associated risks and release Flashback Laser Tattoo Removal from all liability at all times.

I understand that all Laser procedures may have side effects.

I have had the full process explained to me and I fully understand what is involved. I have read and received a copy of the aftercare instructions. My questions regarding the procedure have been answered satisfactorily. I understand the procedure and accept all risks. I hereby release Flashback Laser Tattoo Removal and all Flashback Laser Tattoo Removal staff from all liabilities associated with my procedure.

I understand that tattoos are an art form meant to last a lifetime. I have read the Fact Sheet and understand it fully.
I have read and understood the Informed Consent and Waiver Forms and signed both forms. I understand that no warranties, no guarantees, no refunds, and no forecast as to the number of removal sessions required can be given, and that no outcomes of each session can be given.