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Laser Hair Removal, Laser Facials, 3D Microblading,
& More in  Downtown London Ontario, FREE PARKING on site.

Laser Service Intake Forms

For laser hair removal, photofacial, photobody, & sun spot treatments.

Laser Service Forms are required to be filled out by all new clients, regardless if you have had previous treatments at other clinics. To save time at your consultation, you can download and print all of the forms below, fill them out and bring them to your appointment.
Fill this form out first.
A skin typing form is a great way to determine if you can be treated by our machine. If you are type 1-4, you can safely be treated here, and continue to fill out the other forms. If you are type 5, feel free to text a selfie of your arm to see if you are a good candidate beofre filling out all of the forms. (519-697-9129)
Medical History
Medical History
These forms have questions that will help determine if there are any reasons why you may not be a good candidate. Don't worry, if you have any questions that pop up, or are unsure about an answer, you can leave it blank and we will go over it together.
Aftercare Instructions​
These forms will help you understand what you need to do, and not do between appointments. It will also help you to arrive prepared for treatment.
Cancellation Policy
Cancellation Policy
This form explains what happens if you miss a session, or forget to give 48 hours notice for any appointment changes. Our Cancellation Policy form is the same for all services. You only need to sign one Cancellation Pollicy.
Concent Form
We use an FDA approved, USA made, Class 4 IPL machine. It is made by Palomar, as is this concent form. If you have any questions, we will go over everything at your consultation.