ACKNOWLEDGMENT:
I, {firstName} {lastName}, certify that the preceding medical, personal and skin history statements are true and correct, and give consent to and authorize Skinlab Cosmetics Limited to perform multiple laser procedures, and related services on me. The procedure planned uses laser technology for the removal of tattoos. I am aware that it is my responsibility to inform the technician, doctor, or nurse of my current medical and health conditions and to update my health records immediately, in order for the caregiver to execute appropriate treatment procedures. I understand the procedure and accept all associated risks, therefore I hereby release Skinlab Cosmetics Limited, its staff, and medical director from all liabilities associated with the above indicated procedure.