This professionally written informed consent form is designed for patients undergoing sclerotherapy or laser vein removal. Created for licensed medical providers, it outlines treatment options, the use of FDA-approved Polidocanol (Asclera™), and risks such as bruising, pigmentation changes, phlebitis, allergic reaction, and DVT. The form includes sections on procedural expectations, photo documentation, off-label use disclosure, and patient financial responsibility—making it ideal for protecting providers and guiding patient understanding in aesthetic vein treatment.

Download now to implement a legally sound, patient-friendly sclerotherapy consent in your clinic.