I consent / do not consent to photographs being taken of the area to be treated by the cosmetic nurse. The photographs will document baseline appearance and subsequent response to treatment. After the photographs are taken they will be stored in the clinical record and will be deleted from the device used to take the photographs. The photographs will be able to be viewed at the next visit by you together with the cosmetic nurse.

I, have been informed and understand the process of this procedure. I understand and accept the cost that has been quoted.