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    • Acne
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Patient Consent Forms

Please click on the following links below to open up a PDF version of our consent forms.

Botulinum Toxin Treatment for Facial Wrinkles (Botox Cosmetic™, Dysport and/or Xeomin) Consent Form
Fraxel® Consent Form
Hydrafacial™ Consent Form
Hyaluronic Acid Fillers
Infini™ (RF Microneedling) Consent Form
Intense Pulsed Light (IPL) & Laser Genesis Consent Form
Laser and Light Based Hair Reduction
Platelet Rich Plasma (PRP) Injections
truSculpt iD™ Consent Form
Vascular and Pigmented Lesions
Nd:YAG Laser & Xeo™ Consent Form

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(519) 971-9542
contact@healthyimage.ca

2224 Walker Rd, Suite 300B
Windsor, ON N8W 5L7

 

Cosmetic Consultation Form

About Dr. Jerry Tan

Patient Consent Forms

Preparing For Your First Visit

Aesthetic Procedures and Services

All Healthy Image Services

 

The Healthy Image is led by dermatologist Dr. Jerry Tan who has been in practice for over 30 years in medical and aesthetic dermatology. Our team includes product and procedure specialists to ensure you receive complete care for your skin and hair concerns. 

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