Pre-Procedure Instructions & At-Home Preparation

• If you are anxious or worried about your procedure, feel free to talk to the healthcare practitioner who will perform your procedure. Our practitioners are highly experienced and may suggestions that will help. *

• Avoid Aspirin, Ibuprofen, Advil, St. John’s Wort, oral Vitamin E, and non-steroidal anyti-inflammatory drugs (NSAIDS) in the 24 hours prior to your treatment as they promote the risk of bruising and bleeding in the injected area. *

• If you are currently taking anti-coagulation medications (Warfarin, Coumadin, Herparin, Lovenox, Enoxaparin, Lepirudin, Refludan, Ticlopidine, Aggrastat, Eptifibatide, Intergrilin), discuss the use of these medications with your healthcare provider prior to your treatment. You may or may not be a candidate for treatment with cosmetic dermal fillers. *

• If you are prone to cold sores (oral herpes simplex), take your medication (Famvir, Famciclovir, Valterx, Valacyclovir, Acyclovir) as prescribed in the 24 hours prior to treatment *

Post-Treatment Instructions & At-Home Recommendations

Please observe the following practices after treatment with cosmetic dermal fillers:

• Avoid applying pressure or touching the treated area for six (6) hours after the procedure. The area can then be gently washed with a cleanser and water.

• Avoid vigorous scrubs, exfoliation or facial treatments in the area of treatment for 72 hours

• Avoid microdermabrasion or vibradermabrasion for 72 hours after cosmetic dermal fillers.

• Avoid prolonged exposure to direct sunlight or UV/tanning beds for 72 hours after the procedure.

• Avoid manipulation of the area following the injection unless specifically instructed otherwise by your healthcare practitioner

• For pain/discomfort, use cool packs and over-the-counter analgesics (Acetaminophen, Tylenol).

• Oral or topical Arnica Montana, an herbal supplement, may help with reducing swelling caused by cosmetic treatments. DO NOT take Arnica Montana If you have liver or kidney problems.

• Aspirin, Ibuprofen, Advil, St. John’s Wort, oral Vitamin E, and non-steroidal anti-inflammatory drugs (NSAIDS) may promote the risk of bruising and bleeding in the injection area.

• If you are prone to cold sores (oral herpes simplex), take your medication (Famvir, Famciclovir, Valtrex, Valacyclovir, Acyclovir) as prescribed in the 24 hours prior to treatment.

• If signs and symptoms of infection persist (warmth at the site of injection, discharge/pus, pain/discomfort) or if you develop a fever, please contact our office so our staff may assist you.

BY SIGNING BELOW, I ACKNOWLEDGE AND CERTIFY THAT I HAVE READ AND UNDERSTAND THE “CONSENT, RELEASE AND INDEMNITY AGREEMENT” FOR THIS PROCEDURE, AND THAT I AM SIGNING IT VOLUNTARILY.

Cancellation Policy

Due to COVID-19 Skinology Wellness & Laser we are doing our best to provide the best treatments in the safesty way. We are limited on the number of cliets that can be treated in the office at a time. We are asking for your understang and patients. Please help us help you. Due to these restrictions we need our customers to give a 24 cancellation notice,. This will allow us to see other clients that are in the que to be seen in a timely manner., No Show or notice less then 24 hours will result is a fee of $50 or 50% of the service, amout to be determine by management. If you are feeling sick or have been around someone who display signs of cold, flu, fever, please cancel our appointment. We want to help prevent the spread of the COVID-19 and keep our staff and clients healthy.

Thank you for being the best part of Skinology Wellness & Laser.

Business Policies

Payment Policy We do not accept checks Payment is due in full upon completion of service unless other wise request of non refundable deposit NO EXCEPTION

Kid Free Zone We love kids, but for safety and comfort of all our clients, Children under the age of 18 are not allowed in spa unless they are receiving services. Children 18 years of age require their parent/guardian’s signature on all treatment forms prior to their services Refund/Return Each service or product purchased for service performed at Skinology Wellness & Laser is an elective cosmetic procedure and is non-refundable. If you are unhappy with a service or product please contact us within 48 hours and we will be happy to assist you with any issues you may have. NO refund or return on products purchased.

It may become necessary to release your protected health information to financial parties, credit card entities, banks, and financing companies to facilitate your payment. Patient consent for use of credit card, debit card, credit card and financing

Disclosure of protected health Information Services that are held with deposit, services performed or product that is purchased with credit card, debit card, credit card or financing third party are not eligible for payment challenges after services held with deposit or provided. By signing this form I am irrevocable consenting to allow Skinology Wellness & Laser Medical Spa(Medical management ) to use and disclose my protected health information to any credit card entity, bank, or financing company when they request such information to process an account and assist with payment. I will not challenge such credit, debit or financial card payments once I have made a deposit for service or the serves are provided. The practice encourages complete post-op care and follow up interactions that may address any issues that may arise.

Apply to: All customers. Apply Cancellation Fee Within: 24 hours $50 or 50% of appointment value. No Show or return service Fee: Percentage of appointment value 50% or $50 to be determined by management.

I agree that this noncredit card, debit card, financing company challenge agreement is irrevocable.

Patient consent for use of credit card, debit card, and financing Disclosure of protected health Information Services that are performed with credit card, debit card, or financing third party are not eligible for payment challenges after services are provided. By signing this form I am irrevocable consenting to allow Skinology Wellness & Laser Medical Spa(Medical management ) to use and disclose my protected health information to any credit card entity, bank, or financing company when they request such information to process an account and assist with payment. I will not challenge such credit, debit or financial card payments once the serves are provided. The practice encourage complete post-op care and follow up interactions that may address any issues that may arise. I agree that this non credit card, debit card, financing company challenge agreement is irrevocable. *