Laser Tattoo Removal Consent Form

Client Information

Procedure Information

Laser tattoo removal uses specialized lasers to break down tattoo pigment in the skin. Multiple sessions are usually required, and complete removal cannot be guaranteed. Some colors may not respond completely to treatment.

Possible Risks & Side Effects

• Redness, swelling, blistering, or scabbing

• Temporary or permanent changes in skin pigmentation

• Scarring or texture changes

• Incomplete removal of the tattoo

• Risk of infection if aftercare is not followed properly

• Discomfort or pain during and after the procedure

Contraindications (Not Suitable If)

• Pregnant or breastfeeding

• History of keloid scarring

• Active skin infections or open wounds at treatment site

• Use of photosensitizing medications (unless approved by provider)

Acknowledgments

• I understand results vary and multiple sessions are required.

• I have disclosed my full medical history, allergies, and medications.

• I have received aftercare instructions and agree to follow them.

Consent

I have read and understand the information above. I have had the opportunity to ask questions and all of my concerns have been addressed. I voluntarily consent to undergo laser tattoo removal at The Brows Spot.