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Theo Gentle, MD www.lexingtonps.com drgerstle@lexingtonps.com3363 Tate's Creek Rd Suite209 Lexington, KY 40502 Office: 8592792111MICRONEEDLING REQUEST FOR TREATMENT AND INFORMED CONSENT DO NOT SIGN
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How to fill out microneedling request for treatment

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How to fill out microneedling request for treatment

01
Consult with a dermatologist or skincare specialist to determine if microneedling is suitable for your skin concerns.
02
Book an appointment for the microneedling treatment.
03
Fill out the necessary paperwork provided by the clinic or skincare facility, providing accurate information about your medical history, skin concerns, and any allergies or sensitivities.
04
Follow any pre-treatment instructions provided by the skincare specialist, such as avoiding certain skincare products or treatments.
05
Attend the scheduled microneedling appointment and follow post-treatment care instructions for optimal results.

Who needs microneedling request for treatment?

01
Individuals looking to improve the appearance of acne scars, fine lines, wrinkles, or uneven skin texture may benefit from microneedling treatment.
02
People with hyperpigmentation, enlarged pores, or dull skin may also benefit from microneedling to rejuvenate and refresh the skin.
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Microneedling request for treatment is a formal application submitted by patients seeking microneedling procedures, which involve using a device with fine needles to create micro-injuries in the skin to promote collagen production and improve skin texture.
Patients who wish to undergo microneedling procedures are required to file a microneedling request for treatment, often in consultation with licensed practitioners.
To fill out a microneedling request for treatment, patients should provide their personal information, medical history, specific concerns regarding their skin, and consent for the procedure as required by the practitioner.
The purpose of the microneedling request for treatment is to ensure that patients are informed about the procedure, consent to it, and disclose any relevant medical history that may affect their treatment.
The microneedling request for treatment must report the patient's personal details, medical history, treatment objectives, and any allergies or contraindications to ensure a safe treatment.
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