Question
This would probably helpful for a lot of you. It's a form with all important questions to ask when going in for consultations.
facts.com/tips/lzrcnsform.html (there is no space between hair and facts; I put it in so that the website name doesn't get blocked out on here)
also, here's the page with information on how to choose a laser practitioner:
facts.com/tips/laserchoose.html
Light-based hair removal consultation form
copyright 2001, -Company Name Deleted-.com
(Print and take with you! Get it signed if possible.)
Date of consultation: _______________________
Location: _____________________________________________________________________
Phone #: ________________________
Name of person providing information: _____________________________________________
Name of affiliated doctor: ________________________________________________________
Specialty of doctor: _____________________________________________________________
Doctor has performed hair removal with the device to be used since: ___________
How many procedures doctor has personally performed: ______
Name of person who would perform treatment: _______________________________________
Education/training professional affiliations of person who would perform treatment:
How many years of experience with the device to be used: __________
How many clients treated with device to be used: __________
How many times have they treated the body area for which I'm seeking treatment: __________
How many clients with my skin tone and hair color? __________
What kind of pain can I expect?
What do you use for patients who find it uncomfortable?
Do you write prescriptions for EMLA or painkillers? __ Yes __ No
Brand of device: ______________________________________
Manufacturer: ________________________________________
Device type: __ Nd:YAG __ Ruby __ Flash lamp __ Alexandrite __ Diode
__ Other [specify] __________________________________________________
Do you own or lease the device? __ Own __ Lease
When did you get the device? ________________
Why do you use this one versus the other devices available?
What are the benefits for me versus the other devices available?
What is the best published clinical data using this device?
What sort of skin cooling do you use during treatment?
What side effects have you seen using this device and how long did they last (best/worst case)?
What percentage of clients have had those side effects?
Contact info of clients who are pleased with results
(especially with my same sex, skin tone, hair color, and area treated):
Client 1: _____________________________________________
Email: _____________________________________________
Phone: _____________________________________________
Client 2: _____________________________________________
Email: _____________________________________________
Phone: _____________________________________________
Client 3: _____________________________________________
Email: _____________________________________________
Phone: _____________________________________________
Contact info of any clients who have been done for over a year:
Client 1: _____________________________________________
Email: _____________________________________________
Phone: _____________________________________________
Client 2: _____________________________________________
Email: _____________________________________________
Phone: _____________________________________________
Is this device cleared by FDA for permanent hair reduction? __ Yes __ No
Is this device cleared by FDA for use on my Fitzpatrick skin type? __ Yes __ No
Can you guarantee that my treatment will result in permanent hair removal? __ Yes __ No
Can you guarantee that my treatment will result in permanent hair reduction? __ Yes __ No
Can you guarantee that my treatment will result in long-term hair removal? __ Yes __ No
If so, how do you define long-term hair removal?
Describe your pricing policy, including terms of your multiple treatment contract:
What percentage of your clients didn't respond to treatment or were dissatisfied? _____
What is your policy in the case of client dissatisfaction?
If I still have hairs after my contract is up, what is your policy?
If I have a change in skin tone from treatment, what is your policy?
For information provider's signature:
I affirm the information in the consultation is truthful and accurate.
I have reviewed the information on his form and affirm that they reflect this establishment's position.
______________________________________________________________________________
Signature -----------------------------------------------(Printed Name)---------------------------------Date
Answer
This would probably helpful for a lot of you. It's a form with all important questions to ask when going in for consultations.
facts.com/tips/lzrcnsform.html (there is no space between hair and facts; I put it in so that the website name doesn't get blocked out on here)
also, here's the page with information on how to choose a laser practitioner:
facts.com/tips/laserchoose.html
Light-based hair removal consultation form
(Print and take with you! Get it signed if possible.)
Date of consultation: _______________________
Location: _____________________________________________________________________
Phone #: ________________________
Name of person providing information: _____________________________________________
Name of affiliated doctor: ________________________________________________________
Specialty of doctor: _____________________________________________________________
Doctor has performed hair removal with the device to be used since: ___________
How many procedures doctor has personally performed: ______
Name of person who would perform treatment: _______________________________________
Education/training professional affiliations of person who would perform treatment:
How many years of experience with the device to be used: __________
How many clients treated with device to be used: __________
How many times have they treated the body area for which I'm seeking treatment: __________
How many clients with my skin tone and hair color? __________
What kind of pain can I expect?
What do you use for patients who find it uncomfortable?
Do you write prescriptions for EMLA or painkillers? __ Yes __ No
Brand of device: ______________________________________
Manufacturer: ________________________________________
Device type: __ Nd:YAG __ Ruby __ Flash lamp __ Alexandrite __ Diode
__ Other [specify] __________________________________________________
Do you own or lease the device? __ Own __ Lease
When did you get the device? ________________
Why do you use this one versus the other devices available?
What are the benefits for me versus the other devices available?
What is the best published clinical data using this device?
What sort of skin cooling do you use during treatment?
What side effects have you seen using this device and how long did they last (best/worst case)?
What percentage of clients have had those side effects?
Contact info of clients who are pleased with results
(especially with my same sex, skin tone, hair color, and area treated):
Client 1: _____________________________________________
Email: _____________________________________________
Phone: _____________________________________________
Client 2: _____________________________________________
Email: _____________________________________________
Phone: _____________________________________________
Client 3: _____________________________________________
Email: _____________________________________________
Phone: _____________________________________________
Contact info of any clients who have been done for over a year:
Client 1: _____________________________________________
Email: _____________________________________________
Phone: _____________________________________________
Client 2: _____________________________________________
Email: _____________________________________________
Phone: _____________________________________________
Is this device cleared by FDA for permanent hair reduction? __ Yes __ No
Is this device cleared by FDA for use on my Fitzpatrick skin type? __ Yes __ No
Can you guarantee that my treatment will result in permanent hair removal? __ Yes __ No
Can you guarantee that my treatment will result in permanent hair reduction? __ Yes __ No
Can you guarantee that my treatment will result in long-term hair removal? __ Yes __ No
If so, how do you define long-term hair removal?
Describe your pricing policy, including terms of your multiple treatment contract:
What percentage of your clients didn't respond to treatment or were dissatisfied? _____
What is your policy in the case of client dissatisfaction?
If I still have hairs after my contract is up, what is your policy?
If I have a change in skin tone from treatment, what is your policy?
For information provider's signature:
I affirm the information in the consultation is truthful and accurate.
I have reviewed the information on his form and affirm that they reflect this establishment's position.
______________________________________________________________________________
Signature -----------------------------------------------(Printed Name)---------------------------------Date
Answer
Has anyone used this form (or similar)? Tell us about it, how the tech/salon reacted, and your long-term results! Thx.
Answer
The form seems to include the usual questions, although I HIGHLY DOUBT a laser tech would cough up private information on previous or existing clients so that I could email them and ask them how their bikini lines look today. I would kill my tech if she distributed my private information without my knowledge, and if she asked my permission, I personally would say no. I don't want perfect strangers calling me up asking me how my underarms are doing. I also doubt someone getting her face lasered would want to share that information with some person off the street, considering it's often a private, and sensitive issue among lots of women.
But the rest of the form looks ok! I wouldn't waltz into a clinic armed with 3 sheets of questions like that or anything, but I'm sure I've asked most of the questions during small talk over the course of 3 sessions. Some ppl on here recommend protecting yourself, getting every claim in writing, proving stuff with pictures, etcetcetc. While I understand their point, I would just never go to a clinic that made me feel like I HAD to do this sort of thing. I chose a small clinic in my city, where the woman was friendly from the get-go. She had lots of experience with the laser, knew what good/bad clinics were like, and was simply out to treat patients the way SHE would want to be treated. No false promises, no tricky treatments with low settings to keep my coming back for more. My city isn't anything like say, LA or NY or Chicago, and I was easily able to find a nice little reputable clinic. Feel free to walk into some big name clinic with your question form if you want, but it's important to feel comfortable when you receive this type of treatment. Like electrolysis, you want to feel good with your laser tech. I just don't want to feel like I even have to produce a 3-page for like that in the first place. If I brought that in becuase I was worried, and wanted to cover my ass in case they tried to screw me, I'd go somewhere else.
Answer
I posted this form so that new consumers would know what type of questions they should be asking during the consultation. You don't have to use it in its entirety. Pick and choose questions if you'd like. It should be helpful for those who are new to laser hair removal and don't know what to ask.
Answer
bump
Answer
Thanks Blink. You rock!
Actually, I had an epi-light technician call me and ask if it was ok to give my number to another client who had a similar skin condition to mine. I had found a treatment that worked, and I was glad to help her, although she was a total stranger.
So, it's a valid question.
The only downside is they won't want to provide you with patients who had bad experiences, so the sample will be skewed with good reports.
