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Intense Pulse Light Forms
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Fitzpatrick Scale - Determines what Skin type you have and will help to determine you IPL settings
Intense Pulse Light (Skin Worksheet) - Helps you to advise DCI on your skin type and helps the provider to determine IPL settings
Consent Form - Allows DCI to perform the IPL procedure
Medical Form - Specific information needed by providers before they can do procedure
Post Instructions - a take home form for patients to help with skin care after IPL
ABN - Release of insurance billing (we can not bill insurance for cosmetic procedures)
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Related Documents:
Intense Pulse Light
IPL Med History
IPL Fitzpatrick Scale
IPL consent form
IPL post instructions
ABN
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