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PRX

Please review all pre and post instructions prior to signing consent for all treatments.
By providing your consent for these procedures, you acknowledge and agree to the following care instructions.

General Contraindication Clearance Form
  1. Health Status: 
  • Clients should be in good health and have no chronic illnesses or medical conditions that could affect the outcome of my treatment. 
  1. Medications: 
  • Have not currently taken Motrin, aspirin, or any other blood-thinning medications, and I agree to avoid these for 72 hours before any invasive treatment.
  • Have not consumed antibiotics or steroids within the last 10 days. If I have, I will reschedule my appointment. 
  1. Skin Condition: 
  • Arrive with clean skin, free of makeup, lotions, and any other products. 
  • Not using Accutane and have not used it within the last 6 months. 
  • Do not used retinols or skin-lightening products in the treatment area for 7-10 days, unless otherwise instructed by my provider. 
  1. Cold Sores: 
  • Pre-treat for cold sores 3-7 days before treatments involving the face or private areas if I am prone to them. 
  1. Hydration and Nutrition: 
  • Maintain a minimum intake of 62 ounces of water daily for 5-7 days post-treatment. 
  • Eat a protein-based meal before my treatment. 
  1. Review and Questions: 
  • Review the contraindications, pre, and post-instructions located on the Skin+Tonic Brighton website: www.skinandtonicbrighton.com. 
  • If I have any questions, I will contact the office at 810-522-4799 (call or text). 


Medical Conditions Contraindicated for Aesthetic treatments: 

  • Pregnancy or breastfeeding
  • Active infections or rashes in the treatment area
  • Severe or uncontrolled chronic conditions (e.g., diabetes, cardiovascular disease)
  • History of severe allergic reactions or anaphylaxis 
  • Recent surgery or invasive procedures in the treatment area 
  • Use of immunosuppressive medications 
  • Cancer or undergoing cancer treatments 

Website: www.skinandtonicbrighton.com 

After hours Contact: 810-522-4799 (call or text)

These guidelines help ensure your safety and the effectiveness of your treatments.

Pre-Treatment Instructions
  1. Hydration: 
  • Ensure adequate hydration in the days leading up to your scheduled treatment. 
  1. Sun Exposure: 
  • Avoid direct sun exposure and tanning beds for at least one week prior to your session.
  1. Topical Products: 
  • Discontinue use of topical retinoids or acids for a minimum of 7 days, ideally 10 days, before your treatment. 
  1. Recent Treatments: 
  • Inform your practitioner of any recent skincare treatments or procedures. 
Post-Treatment Instructions
  1. Skincare Application: 
  • Apply the prescribed skin care cream or balm as directed. This step is crucial for optimal results. 
  1. Area Care: 
  • Keep the treated area clean and avoid unnecessary touching. 
  1. Skincare Routine: 
  • Follow the recommended skincare routine provided by your practitioner using gentle cleansers. 
  1. Sunlight Exposure: 
  • Avoid direct sunlight for at least 48 hours following your treatment. 
  1. Physical Activity: 
  • Refrain from intense physical activities, heavy lifting, or strenuous exercise for 24 to 48 hours. 
  1. Swelling or Redness: 
  • If you experience swelling or redness, apply a cold compress at intervals. 
Follow Up Treatment Schedule

Follow-Up Appointments: 

  • Clients are responsible for scheduling follow-up treatments at 7-10 day intervals for the recommended number of sessions (typically 4-6 treatments initially, with one every 3-4 months to maintain results, and a repeated series annually).
Overview of Service
Treatment Description: At Skin and Tonic, we offer a range of specialized treatments designed to rejuvenate and enhance your skin. Our services include personalized skincare treatments that target various concerns such as aging, acne, and skin texture. Each treatment is tailored to meet your individual needs and is performed by experienced professionals using high-quality products.
PRX Contraindications
  • Hypersensitivity: Known history of allergic reactions to any ingredients used in Skin and Tonic treatments. 
  • Active Infections: Presence of cold sores, active infections, or skin conditions at the treatment site. 
  • Pregnancy and Breastfeeding: Not suitable for individuals who are pregnant or breastfeeding. 
  • Scarring History: History of keloid formation or hypertrophic scarring. 
  • Age Restriction: Not suitable for clients under the age of 18.
When To Contact Your Provider
  • Agreement: By signing this document, you acknowledge the contraindications listed, confirm that you do not have any of these conditions to the best of your knowledge, understand the treatment directions, and agree to the policies of Skin and Tonic. 

Skin and Tonic Brighton 

Website: www.skinandtonicbrighton.com 

Contact: 810-522-4799 (call or text) 

Note: These instructions are tailored for clients of Skin and Tonic and may vary based on individual health and skin conditions. 

Consult with your practitioner for personalized guidance.

PRX pre and post instructions

Contraindications for Skin and Tonic Clients:
  • Clients with a known history of hypersensitivity to any ingredients used in Skin and Tonic treatments.
  • Presence of active infection, cold sores or skin condition at the intended treatment site.
  • Pregnant or breastfeeding individuals.
  • History of keloid formation or hypertrophic scarring
  • Unsuitable for clients under the age of 18.
  •  
Pre-Instructions for Skin and Tonic Clients:
  • Ensure adequate hydration in the days leading up to the scheduled treatment.
  • Avoid direct sun exposure and tanning beds for a week before the session.
  • Discontinue the use of topical retinoids or acids preferable 10 days but min 7 days before the
    scheduled treatment.
  • Inform the practitioner of any recent skincare treatments or procedures.
Post-Instructions for Skin and Tonic Clients:
  • Apply the skin care cream/balm as directed WITHOUT FAIL! THIS IS VERY IMPORTANT
  • Maintain cleanliness of the treated area and refrain from unnecessary touching.
  • Follow the recommended skincare routine provided by the practitioner using gentle cleansers.
  • Avoid direct sunlight for a minimum of 48 hours following the treatment.
  • Abstain from intense physical activities, heavy lifting, or strenuous exercise for 24 to 48 hours.
  • Apply a cold compress in intervals if there is swelling or redness.
  •  

*CLIENTS ARE RESPONSIBLE FOR SCHEDULING THEIR RECOMMENDED TREATMENT INTERVALS OF 7-10 DAYS FOR THE RECOMMENDED NUMBER OF TREATMENTS (4-6 AND 1 EVERY 3-4 MONTHS TO MAINTAIN RESULTS WITH A REPEATED SERIES EVERY YEAR)

Note: These instructions are specifically tailored for clients of Skin and Tonic and may vary based on individual health and skin conditions. Clients are advised to consult with their practitioner for personalized guidance.
BY SIGNING THIS DOCUMENT YOU ARE ACKNOWLEDGING THE CONTRAINDICATIONS AND STATING THAT YOU DO NOT HAVE ANY OF THESE CONDITIONS TO THE BEST OF YOUR KNOWLEDGE, FULLY UNDERSTAND YOUR TREATMENT DIRECTIONS AND AGREE TO THE POLICIES OF SKIN AND TONIC

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