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Bella Informed Consent Patent Name BELLA (deoxycholic acid) injection is indicated for improvement in the appearance of moderate to severe convexity or fullness associated with submental fat, also
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Obtain the kybella informed consent form from the appropriate source.
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Read the form thoroughly to familiarize yourself with its contents.
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Provide the necessary personal information as requested on the form, such as your name, date of birth, and contact information.
04
Review the risks and benefits associated with the kybella treatment.
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Make sure to understand the potential side effects and complications that may arise from the procedure.
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Consult with your healthcare provider if you have any questions or concerns regarding the informed consent or the kybella treatment.
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Sign and date the form to indicate that you have fully understood and agreed to the terms outlined in the consent.
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Who needs kybella informed consent?

01
Any individual considering undergoing kybella treatment needs to complete the kybella informed consent. This includes individuals who are seeking to reduce submental fullness or double chin through kybella injections. It is important for patients to have a clear understanding of the treatment, its potential risks, and the expected outcomes before giving their consent.
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Kybella informed consent is a form signed by a patient to confirm they understand the risks and benefits of the kybella treatment.
Any patient undergoing kybella treatment is required to sign a kybella informed consent form.
The kybella informed consent form can be filled out by the patient with assistance from the healthcare provider, ensuring all information is complete and accurate.
The purpose of kybella informed consent is to ensure that the patient is fully informed about the kybella treatment, including any potential risks and benefits.
The kybella informed consent form must include details about the treatment, potential side effects, alternative options, and the patient's acknowledgment of understanding.
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