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LED Light Therapy Consent Form

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LED (Light Emitting Diode) Light Therapy is a non-invasive treatment that uses clinically proven wavelengths of light to stimulate skin rejuvenation, promote healing, reduce inflammation, and target specific skin concerns such as acne, fine lines, and pigmentation. It is suitable for most skin types and can be used as a standalone treatment or alongside other procedures to support recovery and enhance results.


Contraindications:


I confirm I have disclosed to my practitioner if I have or have had any of the following:

  • Epilepsy or light sensitivity

  • Lupus or other photosensitive disorders

  • Pregnancy (LED is generally considered safe, but consent may vary)

  • Use of photosensitising medications (e.g. certain antibiotics, isotretinoin)

  • Active skin infections or open wounds in the treatment area

  • Recent laser, peel, or other energy-based treatments


Potential Side Effects:

LED light therapy is considered low risk. However, I understand the following may occur:

  • Temporary redness or warmth to the skin

  • Mild tingling during treatment

  • Rarely, sensitivity or headache in light-sensitive individuals

  • Eye discomfort if protective goggles are not worn correctly


Treatment Expectations:

I understand that:

  • A course of treatments may be recommended for best results

  • Effects are cumulative and results may not be immediate

  • LED therapy is not a substitute for medical dermatological care


Before and Aftercare Advice:

  • I will arrive for treatment with clean, product-free skin

  • I will wear protective goggles throughout the session

  • I will follow any post-treatment guidance provided, including avoiding direct sun exposure and using SPF daily

  • I will inform the clinic of any adverse reactions


Consent Declaration:


I confirm that:

  • I have been given clear and sufficient information about LED light therapy, including its nature, benefits, and possible risks.

  • I have had the opportunity to ask questions and all my concerns have been addressed.

  • I understand this is an elective aesthetic procedure and results may vary.

  • I give consent for photographs to be taken (for clinical records and/or with separate consent, marketing).

  • I understand I can withdraw consent at any time.

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Dawlish 
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CONTACT

Tel: 07738287979

Email: mel@themodernmuse.co.uk

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