General Treatment Consent

Elite Clinique | Consent Form

This general consent form applies to all aesthetic treatments provided by Be Elite Aesthetics. Treatment-specific consent forms may also be required depending on the procedure. This form must be completed in full before any treatment can commence.

IMPORTANT: Please read this form carefully. Your practitioner will discuss the contents with you and answer any questions you may have. You are encouraged to take as much time as you need to consider the information provided. In accordance with the principles set out in Montgomery v Lanarkshire Health Board [2015] UKSC 11, you have the right to be informed of all material risks and reasonable alternative treatments before giving your consent.

You have the right to withdraw your consent at any time — including during a procedure — without giving a reason and without this affecting your future care with us.

Risks & Side Effects

Very Common

Affects more than 1 in 10 people

Redness at the treatment site (usually resolves within hours to days)
Minor swelling in the treated area
Mild discomfort or tenderness during and immediately after treatment

Common

Affects up to 1 in 10 people

Bruising at or around the treatment site (may last 7-14 days)
Temporary skin sensitivity or tightness
Itching at the treatment area

Uncommon

Affects up to 1 in 100 people

Allergic reaction to treatment products (localised or systemic)
Infection at the treatment site requiring medical attention
Post-inflammatory hyperpigmentation or hypopigmentation (changes in skin colour)
Unsatisfactory aesthetic result requiring further treatment or correction

Rare

Affects fewer than 1 in 1,000 people

Scarring (particularly in individuals with a predisposition to keloid or hypertrophic scarring)

Contraindications

Treatment may not be suitable if you:

✕Pregnancy or breastfeeding (treatments are not performed during pregnancy or lactation as a precautionary measure due to insufficient safety data)
✕Active skin infection, inflammation, or open wound at or near the treatment site
✕Known allergy or hypersensitivity to any product ingredients (please inform your practitioner of all known allergies)
✕Current use of blood-thinning medication, including warfarin, heparin, aspirin, or clopidogrel (increased risk of bruising and bleeding — discuss with your practitioner)
✕Autoimmune condition such as lupus, rheumatoid arthritis, or scleroderma (treatment suitability assessed on a case-by-case basis)
✕Active cancer treatment, including chemotherapy, radiotherapy, or immunotherapy
✕Uncontrolled diabetes or conditions that impair wound healing
✕History of keloid or hypertrophic scarring (treatment-dependent — discuss with your practitioner)

Patient Declaration

By signing this consent form, I confirm that:

1I confirm that I am aged 18 or over.
2I have provided a complete and accurate account of my medical history, current medications (including over-the-counter and herbal supplements), allergies, and any previous aesthetic treatments.
3I confirm that I am not currently pregnant, breastfeeding, or actively trying to conceive.
4I have been given sufficient opportunity to ask questions about the proposed treatment and I am satisfied with the answers I have received.
5I understand the nature, purpose, expected benefits, and limitations of the proposed treatment, including that results are not guaranteed and individual outcomes vary.
6I have been informed of the material risks and potential side effects of the treatment, including rare but serious complications, and I accept these risks.
7I have been informed of any reasonable alternative treatments or the option to have no treatment at all.
8I understand and agree to follow the aftercare instructions provided by my practitioner, and I understand that failure to do so may adversely affect my treatment outcome.
9I understand that I may withdraw my consent at any time, including during the procedure, without prejudice to my future care.
10I understand that my treatment records, including this signed consent form, will be retained as part of my medical record in accordance with Be Elite's Data Retention Policy and Privacy Policy.
11I confirm that I have not been pressured or coerced into undergoing this treatment and that I am giving my consent freely and voluntarily.

Note: This is an informational copy of our consent form. The formal consent process takes place in person with your practitioner before treatment.