DIAMOND GLOW CONSENT FORMS

DiamondGlow™ is a next-level skin resurfacing technology that simultaneously exfoliates, extracts, and infuses skin with targeted serums to address specific skin quality concerns.




Please review and initial the following statements prior to your DiamondGlow™ treatment:

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I hereby agree to have the DiamondGlow™ treatment performed on my skin by a trained operator and to follow all post-treatment protocols


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Print name:
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Date:

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Signature:

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Date:

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The DiamondGlow™ device is a general dermabrasion device that gently removes the top layer of skin and delivers topical cosmetic serums onto the skin.

Please see back page for Important Safety Information and the SkinMedica® Pro-Infusion Serums Disclaimer


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