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INFORMED CONSENT FORM FOR CRACK MAINTENANCE PROCEDURE

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The purpose of the explanations in this form is not to worry you, but to enlighten you in a scientific framework about the before, during and after of the procedure and its possible risks. Please read carefully. If you have questions or points you do not understand, ask for help.

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1. Personal Information

 

Please fill out this section completely.

 

Name:

Surname:

Date of birth:

Gender:

Mobile number:

Signature:

 

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2. Crack Care UWhat is the application and for what purpose is it used?

 

Crack care is performed with the help of a vacuum barometer-enabled device. Special solutions that accelerate blood flow and specially designed solutions for treatmentIt is a device. Before the procedure, special solutions are applied to the area where the cracks are located. Wait for a while for blood circulation to accelerate. This period; It is approximately twenty-five minutes. The application begins after the waiting period ends. The vacuum bar is moved over the skin tears, in the direction of the tear. This wandering movement is done forward and backward. With this application, elastin and collagen proteins are stimulated. Thus, improvement in the appearance of the tear begins to occur. This application takes between one and two hours, depending on the size of the application area.

 

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3. Crack Care What are the points to be taken into consideration beforehand?

 

Please answer the following questions completely.

 

1. Do you have any infection in the application area or in your body?          YES         NO

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2. Do you have a chronic disease such as diabetes?          YES         NO

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3. Do you have an allergy, immune system or rheumatic disease?          YES         NO

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4. Have you had any surgery?          YES         NO

 

5. Do you have an active skin disease or do you have herpes attacks?          YES         NO

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6. Are you prone to bleeding?          YES         NO

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7. Are you positive for hepatitis (HBsAG, HCV) or AIDS (HIV)?          YES         NO

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8. Are you at risk of pregnancy, pregnancy or breastfeeding?           YES         NO

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9. QHave you used any medication in the past 1 week?          YES         NO

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10. Have you used blood thinners (aspirin, coumadin, etc.) in the last 3 days?          YES         NO

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11th. Have you had any dermatological or aesthetic procedures in the last month?          YES         NO

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12. Have you tanned with the sun or a tanning bed in the last few weeks?          YES         NO

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13. If you have had this procedure done before, have there been any problems?           YES         NO

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WRITE BELOW THE SITUATIONS WHEN YOU ANSWERED YES TO THE QUESTIONS OR WOULD YOU WANT TO EXPLAIN OTHER THAN THE QUESTIONS.

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4. Crack Care How is it applied and what is the course of its effect?

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  • You may feel a slight burning sensation with the solutions applied before starting the stretch mark care process; more burning may be felt, especially in some sensitive areas. If it becomes too disturbing, you need to report it.

  • Crack careYou will experience a slight feeling of pain during the procedure; more pain may be felt, especially in some sensitive areas. If it becomes too disturbing, you need to report it.

  • If stretch mark care sessions are continued regularly, it is possible to significantly reduce the appearance of stretch marks.

  • Stretch mark care success may be low due to various reasons such as chronic diseases, hormonal diseases, some drug use or conditions of unknown cause. In addition, although good success is achieved after crack care, subsequent situations may cause an increase in the appearance of cracks again.

  • Session intervals should be approximately 3 weeks. After each session, you will be told when to come and we can also arrange your sessions according to you.

  • The number of sessions cannot be given for a successful stretch mark care application; many consecutive sessions may be required. These values are average times and may vary depending on the person.

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​5. Crack Care What are the points to be taken into consideration after?

 

  • The applied area should not be directly exposed to sunlight or solarium for fifteen days.

  • It is strongly recommended to use sunscreens with a high factor.

  • It is necessary to stay away from gluten-containing foods. For this, the contents of the foods consumed should be examined.

  • You should not go to the Turkish bath or sauna. However, applications that may irritate the skin, such as scrubs, should be strictly avoided.

  • Besides all this; During the applications, you have to act in accordance with the recommendations of our experts. In other words, life You need to adjust your standard to suit the process.

  • Our experts will give you all the necessary warnings. It gives detailed information about what to avoid and what to pay attention to.

  • If an unexpected effect develops, please contact our center.

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6. Crack Care What are the Risks and Side Effects of its Application?

 

  • As with all transactions, there are some risks in this transaction.

  • In the application area

    • ​​Redness (erythema) and bruise

    • uLocal swelling in the application area

    • crusting

    • Wound

  • Darkening or lightening of the skin color may occur in the application area.

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The side effects mentioned above are unlikely to occur. Besides, they are not permanent.

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APPROVAL OF THE PERSON TO BE TRADED

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This procedure is not of vital importance like other cosmetic applications.is. Cosmetic procedures are non-medical  performed to reduce the negative effects on your skin such as wrinkles, lines, spots, scars, tattoos, capillaries, hair loss, sagging, stretch marks, unwanted hair, lack of moisture or unpleasant facial and body appearances.interventionare ales. For reasons that are not fully understood, the success and permanence of the procedure may be shorter than expected. Additionally, no guarantee can be given regarding the results of the application. Any side effects that may occur will be evaluated by our center and improvement procedures (prescription adjustment, medical intervention, emergency intervention) will be carried out by our center's contracted doctor in the doctor's office. You can reach us at any time through the communication channels provided to you by our center.

 

  • I was explained and understood that no cosmetic intervention, medical intervention or treatment could be performed on me without my permission.

  • CRACK MAINTENANCE I have read the text containing the information that must be given before the application. I understand the expected impact and risks of the method to be applied.

  • In addition, other application options, possible consequences and risks were explained to me, written and verbal explanations were made to me about this procedure, necessary warnings were given and I understood it.

  • I was in a position to ask questions about the trading options to be applied and their risks. My questions and concerns were discussed and answered to my satisfaction.

  • It was stated to me that visual material samples (such as photographs) could be taken before, during and after the procedure in order to evaluate the effectiveness of the procedure to be performed, and I agreed.

  • I understand that no guarantee is given as a result of the procedure to be performed on me.

  • I did not encounter any coercive behavior in purchasing this application.

  • Under these conditions, I voluntarily agree to have CRACK MAINTENANCE and pay the necessary costs for this application.

 

THE PERSON TO whom the APPLICATION IS MADE

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Name and surname:

History:

Signature:

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THE PERSON WHO MAKES THE APPLICATION

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Name and surname:

History:

Signature:

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THE PERSON WHO WITNESSED THE APPLICATION

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Name and surname:

History:

Signature:

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