Dysport® Consent Form
Form Template
Dysport is a trade name for Botulinum Purified Neurotoxin used to treat facial expression lines.
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This Dysport Consent Form mobile app outlines the temporary side effects to the treatment and any risks involved. Also captures both patient and physician signatures to inform consent.
This app will assist in the discussion about Dysport treatment and the possibilities of an allergic reaction, temporary muscle weakness, excessive sweating, and/or bruising and swelling of facial muscles.
This inform consent form can be downloaded to an iPhone, iPad, or Android device. All information is securely saved in the GoCanvas Cloud and can be printed or emailed as a PDF if you need to share it with others.
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