Information and Consent for an Cryotherapy

The cryotherapy device destroys the tissue by freezing the fluid inbetween the cells, forming ice shards and crystals which rupture the membrane, thereby destroying the cell. That means there will be no collateral damage to healthy tissue. It’s so incredibly accurate and practical.

Please note: Cryotherapy is a cosmetic procedure which is no longer funded by the NHS. Our partners have decided to continue offering cryotherapy as a free service in the practice however, we are asking all patients who have this procedure done in the practice to make a donation towards the patient donation fund on a voluntary basis in order to fund the costs of the nitric acid canisters.

Cryotherapy offers the ideal treatment for

  • Skin Tags
  • Sun Damage
  • Age Spots
  • Warts
  • Cherry Spots
  • Verrucae
  • Milia

BEFORE THE APPOINTMENT FOR CRYOTHERAPY YOU WILL NEED TO FILL IN THE CONSENT FORM BELOW AND READ THE INFORMATION LEAFLETS (YOU CAN ALSO ASK FOR A PAPERCOPY FROM RECEPTION) BELOW:

YOU CAN THEN BE BOOKED WITH OUR NURSE JO GRAY OR OUR HCA ANGIE RUNICLES FOR CRYOTHERAPY 

Please read the information leaflet below

Cryotherapy Patient information leaflet

Information and Consent for an Cryotherapy

Please read the information on the leaflet carefully, and ask if there is anything that you do not understand. Prior to the procedure, you must fill this consent form in online and send it to the practice to add OR ask for a print out from reception and fill it in.

Name
Date of Birth
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