Fibroblast Pen Treatment Consent & Policy Agreement
LIPS & BODY BY JESS
By reviewing and completing this online form, you acknowledge that you have read, understood, and agree to the terms outlined in the ‘Lips & Body By Jess: Fibroblast Pen Treatment Consent & Policy Agreement.’ Your submission constitutes your informed consent to proceed in accordance with these terms.
Treatment Consent
I understand that:
The Fibroblast Pen treatment uses plasma energy to create controlled micro-injuries that stimulate collagen production and skin tightening.
This procedure is non-surgical, but it involves small plasma “dots” that may cause redness, swelling, scabbing, and temporary discomfort.
Typical healing time is 7–10 days, and full results develop over several weeks.
I must follow all aftercare instructions provided to prevent infection and ensure proper healing.
Possible side effects include swelling, redness, crusting, temporary pigmentation changes, scarring, or infection.
Results vary by individual and are not guaranteed.
Additional sessions may be required to achieve desired results.
I have disclosed all relevant medical information truthfully and understand that failure to do so may increase risks.
I have had the opportunity to ask questions and all have been answered to my satisfaction.
I voluntarily consent to receive Fibroblast Pen (Plasma Skin Tightening) treatment at Lips & Body by Jess.
Clinic Policies
Booking & Deposit Policy
A $25 non-refundable deposit is required to secure your appointment.
This deposit will be applied toward your total on the day of service.
No-shows or late cancellations will result in forfeiture of the deposit.
Late Arrival Policy
A 10-minute grace period is allowed.
Clients arriving more than 10 minutes late may need to reschedule, and the deposit will be held.
Touch-Up Policy
Touch-up services are available within 1–3 months of your initial appointment.
If additional product is required, extra charges may apply.
Refund Policy
All deposits and services are non-refundable.
Results vary per individual and cannot be guaranteed.
Consultation & Medical Disclosure
Every service includes a consultation.
Clients must disclose all allergies, medical conditions, or relevant health history prior to treatment.
The provider reserves the right to decline service if you are not a suitable candidate.
Contacts
lipsbyjess915@outlook.com
915-990-6073
Address
300 N. Resler, El Paso, TX 79912
Opening hours
Monday - Sunday: Closed
Tuesday - Friday: 9:00 - 18:00
Saturday: 9:00 - 16:00


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