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CLIENT INFORMATION _ MEDICAL HISTORY - Berkshire Hair Powered By Docstoc
					     PRETREATMENT INSTRUCTIONS - Make sure to follow these instructions. Failure to do so may increase
     sensitization, hyper pigmentation, hypo pigmentation, dermatitis, blister formation, burns, increased sun sensitivity or
     induce flare-ups of some medical conditions.

         1. Avoid the sun 4-6 weeks before and after treatment. Use a good sunscreen of at least SPF30 or higher,
            and/or wear a hat or protective clothing to keep the area free from the sun.
         2. You MUST be off ACCUTANE for six months prior to and after treatment.
         3. If you have had cosmetic or chemical peels on the treatment area, wait 1 YEAR before having laser
         4. You should stop taking any medications that are photosensitive such as antibiotics, Retin-A, glycolic acid, St.
                              2 weeks before treatment.
         5. You must avoid bleaching, plucking or waxing hair for 4-6 weeks prior to treatment. The hair must be present

         6. If you have had a history of perioral or genital herpes simplex virus, your provider may recommend
            prophylactic antiviral therapy. Follow the directions for your particular antiviral medication.
         7. RECENTLY TANNED SKIN CANNOT BE TREATED! If treated within 4-6 weeks of active (natural sunlight
            or tanning booth) tanning, you may develop hypo-pigmentation (white spots) after treatment and this may not
            clear for 2-3 months or may be permanent.
         8. The use of self-tanning skin products must be discontinued 1 week before treatment. Any residual self-tanner
            should be removed prior to treatment.

        1. Your skin should be cleaned and shaved the day of treatment.
        2. Please wear white garments when having treatments. Dark colors will absorb laser energy and could burn or
           bleach out the fabric.
        3. The DCD (cryogen cooling device) will be used with the laser to cool the skin during treatment.
        4. Safety considerations are important during the laser procedure. Protective eyewear will be worn by the
           patient and all personnel in the treatment room during the procedure to reduce the chance of damage to the
           eye. In addition, your provider will take all the necessary precautions to ensure your safety.
POST TREATMENT INSTRUCTIONS:                                                                                                      
   1. Immediately after the treatments, there should be redness and bumps at the treatment area, which may last up to
      2 hours or longer. It is normal for the treated area to feel like sunburn for a few hours. If there is any crusting,
      apply antibiotic cream. Darker pigmented people may have more discomfort than lighter skin people and may
      require the aloe vera gel or an antibiotic ointment longer.
   2. Makeup may be used after the treatment, unless there is epidermal blistering. It is recommended to use new
      makeup to reduce the possibility of infection. Just make sure that you have moisturizer on under your makeup. In
      fact, moisturizer will help the dead hair exfoliate from the follicle, so use moisturizer frequently and freely on the
      treated area. Any moisturizer without alpha-hydroxy acids will work.
   3. Avoid sun exposure to reduce the chance of dark or light spots for 2 months. Use sunscreen SPF30 or
      higher at all times throughout the treatment.
   4. Avoid picking or scratching the treated skin. DO NOT USE any other hair removal methods or products on the
      treated area during the course of your laser treatments, as it will prevent you from achieving your best results. You
      may shower after the laser treatments, and use soap, deodorant, etc. Avoid hot tubs or very hot baths for 24
      hours. The treated area may be washed gently with a mild soap. Skin should be patted dry and NOT rubbed.
      Underarm areas that have been treated should be wiped with alcohol for 24 hours. You may apply deodorant
      after 24 hours.
   5. If you experience itching, antihistamines such as Benadryl may be taken 1-3 days if required. If your itching is
      severe, call us for a prescription strength ointment.
   6. Hair re-growth occurs at different rates on different areas of the body. New hair growth will not occur for at least
      three weeks after treatment.
   7. Call Berkshire Hair Removal @ (413) 443-5767 with any questions or concerns you may have after the

     *Please Note: Stubbles, representing dead hair being shed from the hair follicle will appear within 10-20 days from
     the treatment date. This is normal and will fall out quickly.


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