User GuideHYDRAFACIAL MD® ELITE
™
6
CAUTION AND MARKING SYMBOLS
Symbol Description
Calls attention to a procedure, practice, or condition that could
possibly cause bodily injury or death.
Ruft Aufmerksamkeit zu einem Verfahren, Praxis, oder Bedingung,
die vielleicht körperliche Verletzung oder Tod verursachen könnte.
Une attention particulière doit être portée à une procédure, pratique
ou condition qui pourrait causer des blessures corporelles ou la
mort.
Calls attention to a procedure, practice, or condition that could
possibly cause damage to equipment or permanent loss of data.
Ruft Aufmerksamkeit zu einem Verfahren, Praxis, oder Bedingung,
die vielleicht Schaden an Ausrüstungen oder permanentem Verlust
der Daten verursachen könnte.
Une attention particulière doit être portée à une procédure, pratique
ou condition qui pourrait causer des dommages à l’appareil ou la
perte permanente de données.
Do Not Re-use
Nicht wieder verwenden
Ne pas réutiliser
Manufactured by
Hergestellt von
Fabriqué par
Keep dry
Bleib trocken
Garder au sec
User GuideHYDRAFACIAL MD® ELITE
™
35
Specify your areas of concern (i.e. eyes, forehead, etc.) _________________
_______________________________________________________________________
_______________________________________________________________________
SECTION 2: CLIENT CONSENT FORM
(Initial each acknowledgement line below)
1. I acknowledge that my skin might experience temporary irritation,
tightness, or redness, which usually dissipates within 72 hours de-
pending on skin sensitivity. _____(initial here)
2. I acknowledge that if I fail to use a minimal sunscreen (SPF 30) and
follow the direction for use, I am more susceptible to sunburn, sun
damage & hyperpigmentation. I should avoid excessive sun exposure,
especially between 10am - 2pm. _____(initial here)
3. I have disclosed my history of allergies above and I acknowledge that
if I am allergic to one or more of the ingredients in the products used,
I may experience an allergic reaction. _____(initial here)
4. I hereby agree to have the treatment performed and agree to follow
all pre and post treatment instructions. _____(initial here)
5. I acknowledge that I should avoid use of aggressive exfoliation,
waxing, and products containing acids that are not part of the rec-
ommended take-home regimen in the treated areas for minimum 2
weeks pre and post treatment. _____(initial here)
6. I acknowledge that I should avoid use of Retin-A type products for a
period of time recommended by my physician and/or skincare practi-
tioner pre and post the treatment. _____(initial here)
7. I acknowledge that I have answered all questions truthfully and
completely. _____(initial here)
8. I release Edge Systems, the ______________ (Aesthetician/Doctor),
management and sta of_______________ (Clinic/O ce) from any and
all liability associated with any injuries and/or current orfuture condi-
tions resulting from the skincare procedures or products. _____(initial
here)
9. I consent to the use of my before, during and after facial procedure
photographs for education, promotion or advertising purposes. My
name will not be used to identify these photographs without my writ-
ten approval. _____(initial here)
By signing below, I certify that I have read and fully understood the con-
tents of this consent form, and that the information I provided above are
complete, accurate, and up-to-date to my knowledge.
Client Signature: _________________________________ Date: _______________
Operator Signature: _______________________________Date: _______________
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