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Red Light Therapy Form

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Red Light Therapy (RLT) utilizes low-level red wavelengths of light to address various skin issues, including wrinkles, scars, and persistent wounds. It is a non-invasive treatment aimed at enhancing skin appearance and overall wellness.


Contraindications

Please confirm that none of the following conditions apply to you:

- Photosensitivity (e.g., lupus or other conditions causing heightened sensitivity to light)

- Pregnancy (consult a healthcare professional before proceeding)

- Active malignant lesions (avoid RLT over areas with known or suspected cancerous

lesions)

- Photosensitizing medications (such as certain antibiotics or antifungals)

- Hyperthyroidism (avoid RLT on the neck and upper chest areas)

- Epilepsy (light sources may trigger seizures)


Client Acknowledgment & Consent

I have read and understood the information above. By signing below, I confirm that none of the contraindications apply to me, and I consent to receive this treatment.

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