LED Light Therapy Consent Form
An LED therapy consent form screens for light sensitivity and the medications and conditions that rule out light treatments, and records the client's agreement before the session.
No credit card required.
Low risk, but not no risk
LED treatments are gentle, which is why screening gets skipped. Some medications make skin react to light, and flashing or bright light can be a problem for clients with light-triggered conditions.
A dedicated form asks those questions every time and records eye-protection instructions.
What to screen before LED therapy
- Epilepsy or light-triggered migraines
- Photosensitizing medications, for example some antibiotics and acne treatments
- Isotretinoin use
- Pregnancy
- Eye conditions or recent eye surgery
- Skin cancer or suspicious lesions in the area
Aftercare the client acknowledges
- SPF daily
- Follow the treatment schedule you recommend for results
- Report unusual redness or irritation
LED Therapy templates in GlowForms
Pick the version that matches how you work, then add your logo and your own questions.
- • Led Therapy - Intake & Consent
- • Led Therapy - With Cancellation Policy
- • Led Therapy - With Photo & Video Release
- • Led Therapy - With Cancellation + Photo & Video Release
- • Led Therapy - Care Advice (aftercare sheet you send after the visit)
How it works
- Attach the form to your led therapy service.
- When a client books, they get the form by email and complete it on their phone.
- You see their answers and signature before the appointment, and they stay in the client record.
FAQ
Do I need a consent form for LED add-ons?
If LED is added to a facial, list it on the facial consent or have the client sign this LED form too. Either way, the light-sensitivity questions should be answered.
Can pregnant clients have LED therapy?
Many practitioners avoid it or ask for the client's doctor's clearance. The form records the client's disclosure so you can decide.
General information, not legal or medical advice. Adapt every form to your state's rules, your insurer's requirements and the product manufacturer's protocol.