Facial radiofrequency informed consent form template

Facial radiofrequency uses heat to stimulate the skin, and that is the central point of consent: poorly controlled heat burns. Patients associate the procedure with something comfortable and risk-free, which can be true under the right conditions but is not a guarantee. A good form says what the device does, what the contraindications are and what the patient should watch for afterward.
This template is generic, with no energy settings, time or equipment brand. For context, see radiofrequency and facial radiofrequency in HOF.
When should you use this template?
At the assessment, before the first session, together with the medical history. Update it if the protocol changes (new area, new technology, new combination) or if there is new health information.
How do you adapt it?
What should the form cover?
| Item | Why it is included |
|---|---|
| Heat and sensation | A warming sensation, which should be tolerable |
| Burns and blisters | Main risk, rare with proper technique |
| Redness and swelling | Expected and temporary |
| Dark spots | Greater attention in skin prone to dark spots |
| Contraindications | Devices, pregnancy, infection, among others |
| Result | Variable, gradual and over several sessions |
| Previous materials | The patient must report all of them |
The Fitzpatrick phototype helps in thinking about the risk of dark spots, but the decision is individual.
Facial radiofrequency informed consent form template
What about when radiofrequency is added to injectables?
It is a frequent question and deserves individual assessment. The patient should report everything that has been injected, and the professional should record the decision. See the questions radiofrequency and filler and radiofrequency after filler. Informed consent should accompany each stage of the plan.
Frequently asked questions
Does facial radiofrequency need an informed consent form?
It is recommended. The procedure uses heat on the skin and has risks such as burns, blisters and dark spots, as well as contraindications such as metal implants and pacemakers. The patient needs to know this in writing.
Is there a relationship between radiofrequency and filler?
The subject raises important clinical questions and should be assessed case by case by the professional. The form should record that the patient reported all previous materials and procedures.
Does the form need to name the device?
Identify the type of technology and record the equipment and parameters in the patient chart. Regulatory clearance of the equipment is the clinic's responsibility and must follow the applicable health regulations.