Botox patient consent form

Botox patient consent form

What does the Botox^® consent form include?

• The name of the medical facility or the name of the physician who procured the consent

• Name of the patient

• A description of the treatment

• Possible complications, risks, and side effects

• Financial responsibility

• Terms and conditions of payment

• Disclaimer about before and after photos

• A representation that no guarantees are made for the procedure

• A non-liability clause on the part of the medical facility for negative complications or issues resulting from the BOTOX

• Patient name in print

• Signature date

Guidelines  to utilize a Botox^® Patient Consent Form

1. Become educated with regards to Botulinum poison

The patient should consult with a physician for further explanation of what BOTOX is and how it works before undergoing any cosmetic procedure. A physician should also explain the effectiveness and duration.

2. Known dangers and complications

Risks, complications, and side effects of the treatment should be disclosed to patients. In most cases, the consent form will not include a full list of side effects so patients should consult their providers if they have additional questions about possible complications.

3. Check with your Physician

Patients ought to talk with their Primary Care Managers to guarantee they are qualified contenders for Botox^®. A patient's clinical history should be checked to guarantee there are no extra or higher dangers of secondary effects preceding going through superficial treatment.

4. Sign and plan for the procedure

An individual who is keen on Botox^® should audit the consent form and guarantee all questions are responded to before signing the consent document. When they have a full understanding the patient should sign and date the document and give it to their clinical expert before the treatment/procedure commences.

Common Botox^® adverse effects

The list below is a rundown of most normal aftereffects anyway it doesn't list every likely incidental effect. A patient keen on getting BOTOX ought to seek counsel from a medical services supplier for additional details in regard to secondary effects.

• Feeling nauseated

• Headache

• Bruises or slight bleeding

• BOTOX-induced antibodies due to the body's reaction to the injectables.

• Flu-like symptoms like the common cold

• Loss of muscle tone (from repeated injections)

• Body-wide weakness

• Asymmetry of the face (one side of the face looks different than the other)

• Overcorrection or under correction

• There can also be double vision, a droopy eyelid, difficulty closing an eye, difficulty whistling, or difficulty drinking through a straw due to a paralysis of nearby muscles.

• Verbal impairment is also possible.

• Trouble breathing