Red Light Therapy Treatment Form Pre-Appointment Forms To help us better understand your needs and ensure a safe, relaxing experience, please complete the consent forms before your visit. Your comfort and well-being are our top priorities, and your information will remain private and secure. Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Full Name *FirstLastEmail Address *Phone Number *Medical History *Please provide any relevant medical history that might affect red light therapy treatment.Current Medications *List any medications you are currently taking. Email Consent Address Acknowledgment and Consent *I have been informed about the red light therapy treatment and its potential effects.I do not have any known conditions that contraindicate red light therapy.I consent to undergo red light therapy treatment.Please read and acknowledge the following statements.Date of Consent *Submit