I duly authorize to perform the Soprano Lite Laser Hair Removal procedure and any other measures which in their opinion may be necessary.

I understand that the Soprano Lire is a device used for laser hair removal and the clinical results may vary in different skin types and hair types. I understand there is a possibility of short-term effects such as reddening, blistering, scabbing, temporary bruising and temporary discoloration of the skin, as well as the rare side effects such as scarring and permanent discoloration. These effects have been fully explained to me (Patient initials).

Clinical results may vary depending on individual factors, including medical history, skin and hair type, patient compliance with pre/post treatment instructions, and individual response to treatment. I understand that epilation with the Soprano system is a safe alternative to methods used for removing unwanted hair, such as shaving, waxing, chemical epilation and electrolysis (Patient initials).

I understand that treatment by the Soprano laser hair removal system involves a series of treatments and the fee structure has been fully explained to me (Patient initials).

I certify that I have been fully informed of the nature and purpose of the procedure, expected outcomes and possible complications, and I understand that no guarantee can be given as to the result obtained. I am fully aware that my conditions is of cosmetic concern and that the decision to proceed is based solely on my expressed desire to do so (Patient initials).

I confirm that I am not pregnant at this time, and that I have not taken Accutane within the last 6 months. I do not have a pacemaker or internal defibrillator (Patient initials).