Laser Hair Removal Consent Form

Prep is what keeps you safe and gets the best result:

Shave the area 12–24 hours before — do not wax, pluck, thread, or use hair-removal creams for 2–4 weeks before (the follicle must stay intact).
No sun, tanning beds, or self-tanner on the area for at least 2 weeks before.
Arrive with clean skin — no lotion, deodorant, or makeup on the area.
Pause retinol on the area and let us know about any new medications.

For the next 24–48 hours:

Avoid sun and wear SPF on any exposed treated skin — sun protection is essential.
Skip hot showers, saunas, swimming, and sweaty workouts for 24–48 hours.
Don’t exfoliate the area for 48 hours.
Treated hairs will shed over the next 1–3 weeks — that’s normal, not regrowth.
Between sessions, only shave — never wax or pluck.

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Section A — Client Information

First Name *

Last Name *

Phone *

Email *

Date of Birth *

Today's Date *

City

State

Postal Code

Treatment Area(s)

Emergency Contact Name

Emergency Contact Phone

I agree to receive booking confirmations and appointment reminders at my email address above. * Text me booking confirmations, reminders, and updates at my phone number above. Message & data rates may apply; reply STOP to opt out.

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Section B — Photo & Video Release

I grant I Am Beautiful by Mia permission to take before/after photos and video, including filming during my session, and to use them on social media, website, and marketing. I understand I will not be compensated, and I may withdraw this consent in writing for future use at any time.

Name preference for photos & video

Use my name No name Fictitious name

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Section C — Medical History

List any known allergies

List all current medications

Skin type / complexion

Recent sun exposure or tanning in treatment area?

YesNo

Client preferences for next visit

Additional notes for next session

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Section E — Laser Technology & Skin-Tone Safety

Machine: Your treatment is performed with an 808 nm diode laser. The 808 nm wavelength penetrates deeper and is one of the safer, more effective options for medium-to-deep and melanated skin tones. No laser, however, is risk-free on any skin tone.

Please read carefully. Laser hair removal can cause temporary redness, swelling, and follicular bumps. Less commonly it can cause burns, blistering, or changes in skin color:

Hyperpigmentation (darkening) and hypopigmentation (lightening) of the skin. These risks are higher for richly melanated / darker skin tones (Fitzpatrick IV–VI). Color changes are usually temporary but can, in rare cases, be long-lasting or permanent.
Sun exposure, tanning, self-tanner, and recent sunburn significantly raise the risk of burns and pigment changes. You must avoid these before and after every session.
A test patch may be performed, and conservative settings used, to reduce risk on deeper skin tones.

I understand my treatment uses an 808 nm diode laser; that laser hair removal carries a risk of hyperpigmentation, hypopigmentation, burns, and blistering; that these risks are higher for melanated / darker skin tones; and that following all prep and aftercare, especially sun avoidance, is essential to reduce them. I understand results and complete hair removal are not guaranteed. *

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Section F — Client Consent & Signature

Appointment reminders: I consent to receive appointment reminder messages via SMS. Reply STOP to opt out. Promotions: I consent to receive promotional and marketing messages from I Am Beautiful by Mia. Reply STOP to opt out.

By checking the SMS boxes above, you agree that I Am Beautiful by Mia may contact you at the number provided. This is not a condition of service.

Before Your Appointment

Aftercare

Section A — Client Information

Section B — Photo & Video Release

Section C — Medical History

Section D — Laser Hair Removal Contraindications

Section E — Laser Technology & Skin-Tone Safety

Section F — Client Consent & Signature