The Vital RN — Enhancing Beauty, Restoring Vitality
The Vital RN

Informed Consent

Patient Consent Form

The Vital RN

Please review the information below and sign to acknowledge your understanding.

1. Nature of Treatment

I understand that the services provided by The Vital RN may include aesthetic injections, microneedling, chemical peels, facials, PRP/PDRN/exosome therapies, and wellness injections. My provider has explained the purpose, expected results, and alternatives to my chosen treatment.

2. Risks & Side Effects

I understand that possible side effects include—but are not limited to—redness, swelling, bruising, tenderness, temporary asymmetry, infection, or allergic reaction. I have had the opportunity to ask questions and have received satisfactory answers.

3. Photography

I understand that photos may be taken of the treatment area for clinical documentation. I may separately consent to use of photos for education or marketing.

4. Financial Responsibility

I understand payment is due at the time of service, and that aesthetic treatments are not typically covered by insurance.

5. Acknowledgement

My signature below indicates that I have read this consent, understand it, and voluntarily agree to proceed with treatment.