LED LIGHT THERAPY CONSENT FORM

PATIENT INFORMATION:

MEDICAL HISTORY

Procedure Description:

I understand that I am receiving LED light therapy and/or mechanical body treatment using devices such as red light full body therapy systems, LED rollers, or Endosphere body rollers.

LED light therapy uses specific wavelengths of light, particularly red light, to penetrate the skin at varying depths. This process is designed to stimulate cellular activity, promote collagen production, improve circulation, and support skin and tissue repair.

The Endosphere body roller and LED roller treatments involve a non-invasive mechanical massage using a device with rotating spheres or rollers. This technology applies controlled pressure and vibration to the skin and underlying tissues, which may help stimulate lymphatic drainage, improve circulation, and reduce the appearance of cellulite or fluid retention.

During the procedure, the device will be applied to the targeted areas of the body or face. The treatment is generally comfortable and may produce sensations of warmth, pressure, or gentle vibration.

I understand that multiple sessions may be required to achieve optimal results, and outcomes vary depending on individual conditions and treatment goals.

Benefits and Risks:

I have been informed that the potential benefits of LED light therapy and Endosphere/body roller treatments may include:

• Improved skin tone, texture, and elasticity
• Stimulation of collagen production
• Enhanced circulation and oxygenation of tissues
• Reduction in inflammation and muscle tension
• Improved lymphatic drainage and reduced fluid retention
• Reduction in the appearance of cellulite
• Relaxation and overall skin rejuvenation

I understand that there are potential risks and side effects associated with these treatments, including:

• Mild warmth, redness, or sensitivity in the treated area
• Temporary skin irritation or dryness
• Mild discomfort or tenderness from mechanical pressure
• Temporary bruising (especially with body roller treatments)
• Increased sensitivity in certain areas following treatment

I understand that serious complications are uncommon but may occur in rare cases.

Aftercare:

I agree to follow the post-treatment instructions provided by the clinician to ensure the best possible results and minimize any risks. I understand that failure to adhere to these instructions may increase the likelihood of complications.

Consent for Treatment:

I hereby consent to undergo a LED Light Therapy treatment. I acknowledge that the clinician has explained the procedure, its benefits, and potential risks to me. I have had the opportunity to ask questions, and all of my concerns have been addressed to my satisfaction. I understand that the results of a LED Light Therapy treatment can vary, and multiple sessions may be required for optimal results.

Release of Liability:

I release The Abram, its employees, and representatives from any liability associated with the LED Light therapy treatment, except for cases of negligence or intentional misconduct.

Human Error Acknowledgment:

I understand that aesthetic treatments are performed by qualified clinicians using professional equipment and established protocols. However, I acknowledge that, as with any procedure involving human involvement, there is a possibility of unintended outcomes due to human or technical error. By signing this consent, I accept this inherent possibility and agree that The Abram and its staff shall not be held liable for minor or unintentional errors occurring during the course of treatment, provided that reasonable care and professional standards are followed.

Photographs and records:

I understand that videos and photos will be taken for medical documentation purposes and will be used only for treatment comparisons and tracking progress milestones.

I agree that all the above information is true and accurate to the best of my knowledge