drmitchcosmeticelegance.com

Consent to Treatment and Acknowledgment of Risks

By proceeding, I acknowledge that I have been fully informed of the nature of the treatments offered at Dr. Mitch Cosmetic Elegance, including their benefits, potential risks, and complications.

I understand that, as with any medical or aesthetic procedure, there may be unforeseen side effects, risks, or outcomes, including but not limited to swelling, bruising, infection, scarring, or adverse reactions to treatments or products.

I confirm that I have had the opportunity to ask questions and discuss any concerns with Dr. Mitch or his medical staff. I am aware that individual results may vary and that no specific results can be guaranteed.

I voluntarily consent to undergo the recommended treatment(s) and agree to follow all pre- and post-treatment care instructions.

By signing this consent form, I hereby authorize Dr. Michael Carlos and such assistants as may be selected to perform the following procedure or treatment and I accept the risks and responsibilities associated with the procedures and acknowledge that I am undergoing these treatments voluntarily.

Please enable JavaScript in your browser to complete this form.
Name