Prior to receiving treatment, I have informed my medical professional about any medications or health conditions that may contraindicate this treatment.

I understand that there might be some discomfort such as stinging, redness, burning, itchiness or tightness during and a week after the treatment. I understand that it is important not to pull, pick at or remove peeling skin forcibly.

I understand that while complications are extremely rare, they may occur. In the event of a reaction or complication, I agree to immediately contact my medical professional for follow up care.

Occasionally hyper pigmentation or hypo pigmentation may develop which can persist for weeks or months after the treatment.

I understand that post peel care includes use of Mineral Perfection Tinted SPF 30 or an SPF 30 or above And will avoid sun exposure during the exfoliation process.

I understand that extended sun exposure, including use of tanning beds, is prohibited both before and after The Perfect Derma Peel treatment. Avoid sweating excessively or use of steam/sauna for 3 days post peel.

I understand that this is an elective procedure and is nonrefundable.

I understand that no other chemical peels or medical device treatments are to be performed on my skin until my medical professional releases me to do so.

I authorize the taking of clinical photographs for my medical record, to be used for scientific purposes both in publication and presentations. I understand my identity will be protected.