I give consent for Ashleigh and Georgia Elliott to preform my laser treatment and confirm that I have disclosed any changes to the original details provided on my medical form since my previous treatment. I confirm that if I have withheld any information from my practitioner I take full responsibility for any risks involved. I am aware my practitioner does not hold any liability for any issues that may arise from information I have withheld. By signing below, I confirm that I have read and understand this disclaimer, and I consent to undergo laser treatment at Pro Skin Clinic.