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$127.00
A complete, attorney-reviewed informed consent form for hyaluronic-acid and biostimulator dermal fillers. It includes the vascular occlusion risk disclosure, off-label use, alternatives and aftercare acknowledgments that generic forms miss.
Med spas, aesthetic clinics, mobile injectors, and dermatology or plastic-surgery practices offering dermal filler. Built for the injector who needs the vascular-occlusion risk clearly disclosed and acknowledged before treatment.
Most free filler consents don’t spell out the vascular occlusion risk or the off-label reality of many filler treatments — the exact details that protect you if a complication occurs.
Download the editable Word file, add your clinic details, have your medical director review it, and use it for every filler patient. PDF included.
It should cover the treatment, the material risks including vascular occlusion, off-label use, alternatives, a no-guarantee clause, aftercare, and dated signatures — all included here.
Yes. Vascular occlusion is specifically disclosed and acknowledged in this consent.
Yes. It covers HA fillers generally, including lip filler. A dedicated lip-filler edition is also available.
Drafted to national best-practice standards with state adaptation guidance; state editions available where laws differ.
