Allergan Botox Consent Form Pdf

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Questions & answers

Indeed, there are four related injectables on the market: Botox, Dysport, Xeomin, and Jeuveau, and they all use botulinum neurotoxin to smooth out wrinkles and lessen the signs of aging in the same way, though there are many misconceptions about how that happens.
Generally, on the day you get Botox, it's a good idea to: gently exercise your face. relax for the rest of the day. maintain a normal heart rate. avoid touching, rubbing, or physical pressure on the affected area. leave the treated area alone.
I understand this an elective procedure and I hereby voluntarily consent to treatment with Botox® injection for Facial Dynamic Wrinkles, TMJ, or Bruxism. The procedure has been fully explained to me. I have read the above and understand it. My questions have been answered satisfactorily.
A botox consent form should include the name and contact details of the patient, their medical history, whether they are a parent or lactating, whether they are on specific medication or have previous surgeries, as well as how they will pay for the procedure. and, of course, their signature.
What is Allergan authorization form? The Allergan consent form offers numerous benefits, including protecting the practitioner, informing the patient, establishing rights and responsibilities, and providing a record of the patients consent for potential future legal proceedings.
Bleeding and Bruising: It is possible, though unusual, to have a bleeding episode from a BOTOX injection. Bruising in soft tissues may occur. Serious bleeding around the eyeball during deeper BOTOX injections for crossed eyes (strabismus) has occurred.