Radio Frequency (RF) Treatment Consent Form

Overview

Radio Frequency (RF) treatments use energy waves to heat the deep layers of the skin to stimulate collagen production, tighten tissue, and improve tone and texture. The goal is to enhance your natural appearance safely and effectively.

Treatment Expectations

• RF treatments are non-surgical and typically require a series of sessions for optimal results.

• Results vary depending on individual skin type, lifestyle, and treatment area.

• Maintenance treatments may be required to sustain results.

• Mild redness, swelling, or warmth in the treated area may occur and typically resolves within 24–48 hours.

Contraindications

I understand that I should not undergo RF treatment if I have or have had any of the following:

• Pregnancy or breastfeeding

• Pacemaker or internal defibrillator

• Metal implants or pins in the treatment area

• Active cancer or undergoing chemotherapy/radiation

• Uncontrolled diabetes, epilepsy, or severe heart disease

• Active skin infections, open wounds, or inflammation in the area

• Recent cosmetic injections (within the past 2 weeks) or laser treatments (within the past 4 weeks)

Risks & Possible Side Effects

I understand that although rare, potential risks may include:

• Redness, swelling, or bruising

• Blistering or burns

• Pigment changes

• Temporary discomfort or numbness

• Unsatisfactory results or need for additional treatments

Aftercare Instructions

• Avoid hot showers, saunas, or strenuous exercise for 24 hours post-treatment.

• Stay hydrated and use recommended skincare products.

• Apply SPF daily and avoid direct sun exposure on the treated area.

• Contact your provider immediately if any unusual reaction occurs.

Consent & Acknowledgment

I confirm that:

• I have disclosed all relevant medical conditions, medications, and prior procedures.

• I understand the nature, purpose, and possible risks of RF treatment.

• I have had the opportunity to ask questions and all were answered to my satisfaction.

• I consent to photographs being taken for medical documentation and/or treatment progress (optional).

I hereby release the practitioner and staff from any liability associated with the treatment, except in the case of proven negligence.