I acknowledge that I have been informed about the micro needling procedure, including its benefits, risks, and potential side effects such as redness, swelling, bruising, infection, scarring, or changes in skin pigmentation.*

I understand that results may vary and that multiple treatments may be necessary to achieve desired outcomes. No guarantee of specific results has been made.*

I confirm that I have disclosed all relevant medical history, current medications, skin conditions, and allergies that may affect this treatment.*

I understand the importance of following pre and post-treatment care instructions and acknowledge that failure to do so may affect results and increase risk of complications.*

I acknowledge that I am not pregnant, breastfeeding, or have any contraindications to micro needling treatment as discussed with my practitioner.*

I understand that if I experience any unusual symptoms or complications following treatment, I will contact the clinic immediately.*

I acknowledge that I have had the opportunity to ask questions about the procedure and all my questions have been answered to my satisfaction.*

I consent to having photographs taken of my treatment area for medical records and treatment planning purposes.*

I consent to having photographs and/or videos taken for marketing, educational, or promotional purposes. I understand these may be used on websites, social media, or other marketing materials.*

I consent to receiving text messages regarding appointment reminders, treatment follow-ups, and clinic communications.*

I consent to receiving email communications regarding my treatment, aftercare instructions, promotional offers, and clinic updates.*

I consent to receiving phone calls regarding appointment confirmations, treatment follow-ups, and important clinic communications.*