PRP Therapy Consent

Risks & Side Effects

Contraindications

Treatment may not be suitable if you:

• ✕Blood disorders, platelet dysfunction, or thrombocytopenia
• ✕Active cancer, current chemotherapy, or radiotherapy
• ✕Chronic liver disease or hepatitis
• ✕Current use of anticoagulant therapy (warfarin, heparin, DOACs)
• ✕Current use of anti-platelet medication (aspirin, clopidogrel) — discuss with your practitioner
• ✕Active systemic infection or sepsis
• ✕Haemodynamic instability or severe anaemia
• ✕Pregnancy or breastfeeding
• ✕Autoimmune conditions affecting the blood or skin
• ✕Active skin infection at the treatment site

Patient Declaration

By signing this consent form, I confirm that:

1. 1I consent to a venous blood draw from my arm for the purpose of preparing Platelet-Rich Plasma. I understand the blood draw is performed using sterile, single-use equipment.
2. 2I understand that PRP is prepared from my own blood (autologous), which substantially reduces — but does not eliminate — the risk of adverse reactions.
3. 3I understand that 2-3 treatment sessions, spaced 4-6 weeks apart, are typically recommended for optimal results, and that a single session may produce limited improvement.
4. 4I have avoided anti-inflammatory medications (including ibuprofen and aspirin) for at least 48 hours before this treatment, as these medications can impair platelet function and reduce the efficacy of PRP.
5. 5I will avoid anti-inflammatory medications for 48 hours after treatment to avoid interfering with the healing response.
6. 6I will avoid strenuous exercise, swimming, saunas, and steam rooms for 48 hours following treatment.
7. 7I will apply sunscreen (SPF 50) daily and avoid direct sun exposure for 2 weeks following treatment.
8. 8I understand that results develop gradually over 4-8 weeks as collagen remodelling occurs, and that no guarantee of a specific outcome is given or implied.