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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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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.

(519) 971-9542
contact@healthyimage.ca

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

Treatments
  • Skin Programs
  • Acne
  • Acne Scars
  • Acne Pigmentation
  • Benign Brown Spots (Lentigos)
  • Facial Redness (Erythema)
  • Skin Aging
  • Skin Tags
  • Skin Tightening
  • Melasma
  • Moles
  • Rough & Dry Skin
  • Veins & Vessel Marks
  • Wrinkles
  • Hair Loss
  • Unwanted Hair
  • All Programs
Procedures
  • Excel V+™
  • Fillers
  • Fraxel®
  • Hydrafacial™
  • Infini™ (RF Microneedling)
  • IPL (Intense Pulse Light)
  • Jessner Peels
  • Laser Hair Removal
  • Laser Genesis
  • Liquid Nitrogen
  • NeoClear®
  • NeoSkin®
  • Botox Cosmetic™
  • Platelet-Rich Plasma (PRP)
  • Subcision
  • truSculpt iD™
  • YAG Laser
  • All Procedures
Resources
  • Cosmetic Consultation
  • Consultation For Injectables
  • Preparing For Your Visit
  • Contact Healthy Image
  • Video Center
  • Healthy Image Blog
  • Guide To Common Skin Concerns
  • About The Healthy Image Center
  • Privacy Policy
  • Dr. Jerry Tan Website
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