Terms of treatment Article 1 DEFINITION
This information is provided in
addition to the information you have already received during the consultation,
i.e Client Personal Record and the Medical Questionnaire. This information has
been conceived so that you can make a decision whether or not to give informed
consent to the Hair-Pigmentation Treatment. Therefore it is assumed that you
have read and understood this form, the documents mentioned above and the
information provided to you during your consultation appointment(s).
Only sign the form if you are
completely sure to proceed with this treatment.
The skalppigmentation.ch treatment is a form of
tattoo and uses a pigmentation procedure to apply colorants just below the skin
in the dermis, in a similar manner to traditional tattoos.
The Hair-pigmentation treatment
is not permanent and can be reversed. The colorants used are made with natural
ingredients. Although there is not allergic reaction known we carry out a patch
Clients may experience some
discomfort (or even pain in rare cases) during the treatment.
Clients with a history of skin
cancer, sun damaged skin or any other relevant medical condition should consult
their doctor before undergoing the treatment. In these circumstances, we may
require a signed certificate from the clients doctor before proceeding with
The final outcome of this
treatment is very dependent on the individual healing process of each client. Pictures
and images of potential outcomes shown prior to treatment are a guide to the
results achievable and do not form a guarantee of individual outcomes or
results. Certain areas of the scalp can appear darker / lighter than others due
to skin condition, scarring etc. We will as far as possible provide consistent
follicle replication however as with natural hair certain follicles can appear
larger than others.
Article 2 CANCELLATION, PAYMENTS and COMPLAINTS
We will notify you with the time and date of
your treatment appointment. On receipt of this notification please
confirm your attendance. Failure to do so may result in reallocation of the
appointment time to another client.
If you are unable to attend your
appointment we require 5 working days notice in order to reallocate your
appointment to another client.
A non-refundable deposit of 400.00.- CHF will
be charged to secure your booking, should you cancel or fail to arrive for your
treatment the non-refundable deposit will be used as a cancellation charge. Should
you wish to change your appointment we require a minimum 5 working days
notice. This applies to all bookings.
Payments We accept the following forms of
Credit Cards a 3% surcharge is payable for
all credit card transactions
Bank Transfer (An additional
charge of 20.00 .- will be added for International transfers)
We always assess whether treatment is suitable
for you, or likely to be successful, prior to any treatment being carried out. If
not, we will inform you as to the reasons why. Your right to complainIf you have an issue with any
matter in relation to your treatment you are entitled to lodge a
complaint, either verbally, by telephone or in writing and you will receive
acknowledgement within seven days of lodging the complaint.
Article 3 GUARANTEES
Your treatment is guaranteed for
12 months dated from the first session, following the completion of all
recommended sessions and any fading that has occurred will be rectified within
this time frame. Any alterations to your agreed style including repositioning
of hairline, increasing density, changing colour, fine tuning and adding side
profiles will be charged at an hourly rate + the cost of consumables + local
taxes. Should laser removal be necessary the client will be responsible to deal
directly with the laser removal company and bear all costs involved.
Article 4 ACKNOWLEDGEMENTS
I confirm that I have read and
understood the information set out above and in the documents provided to me.
I understand that this treatment
will require multiple sessions (minimum of 2) due to the different skin type,
hair tone, some clients will require more than one course of treatment and
maintenance will also be required.I understand following treatment
the skin may be red and there can be a small amount of swelling this is normal.
Blistering or crusting is not common but can occur and can take weeks to
resolve.I understand that if this occurs I will contact HIS in the first
instance.I understand there is a risk of
micro scarring although this is very rare. (I will adhere to the aftercare
advice provided by following my treatment).I will follow any
instructions/recommendations given to me regarding the care of the treated area
prior to, during and/or after treatment. After treatment, treated areas should
not be picked, scratched or traumatised and should be kept well moisturised as
advised in the aftercare recommendations.
I understand following treatment
there may be hyper pigmentation or hypo pigmentation (marked lightening /
darkening of the skin). I confirm that I have advised the
HIS Representative of (i) any skin condition that I have in the area where the treatment
is to be carried out, such as acne, scarring, eczema, psoriasis, freckles,
moles or sunburn; and (ii) any medical condition that I have or medication that
I am on, which may affect my suitability as a candidate for the treatment.
I confirm that I have been given
the opportunity to discuss the treatment with the Representative and I have had
the opportunity to ask questions relating to this treatment.
I confirm that I am over the age
of eighteen (18) and have provided proof of my age, if necessary.
I confirm that the information I
have provided is true and accurate to the best of my knowledge and that there
are no other matters which may affect my suitability.
I understand that photographs of
my face and scalp will be taken before, during and after treatment and stored
by Skalppigmentation.ch for the purposes of providing me with the treatment and
for its internal records.
I understand that these photos
will not be used for any other purposes without my separate written consent. I
understand I can request a copy of the photographs at the end of my treatment.
I understand that I may not
always be able to be treated by the same practitioner.