CeraThrive LED Light Therapy Consent Form

CeraThrive LED Light Therapy Consent Form

Patient & Provider Information

Introduction / Purpose

CeraThrive LED Light Therapy uses advanced LED technology to stimulate cellular activity, reduce inflammation, and enhance overall wellness. Treatments are non-invasive, safe, and typically completed in 10-minute sessions.

Intended benefits may include:

  • Support for skin health and tissue repair

  • Pain reduction and inflammation management

  • Enhanced circulation and cellular rejuvenation

  • Overall wellness and energy optimization

Treatment Overview / How It Works

  • Patients sit comfortably while the LED device is positioned over the treatment area

  • The device delivers controlled wavelengths of light to penetrate tissue and stimulate cellular function

  • Sessions are typically 10 minutes in duration

  • Frequency is determined by the provider based on patient needs and desired outcomes

Contraindications & Warnings

Do not use CeraThrive LED Light Therapy if you have:

  • Photosensitivity disorders or epilepsy triggered by light

  • Pregnancy (unless cleared by a provider)

  • Active skin infections or open wounds at the treatment site

  • History of melanoma or other light-sensitive conditions

Caution is advised for patients using photosensitizing medications.

Possible Risks / Side Effects

  • Mild warmth or tingling at the treatment site

  • Temporary redness or increased sensitivity of the skin

  • Rare: headache, eye strain, or nausea if exposed to bright light for extended periods

Pre-Treatment Instructions

  • Avoid applying lotions, oils, or heavy creams to treatment areas

  • Wear protective eyewear provided by the clinic during therapy

  • Inform provider of any medical conditions, medications, or implants

During Treatment / Application

  • Patient remains seated and relaxed while LED panels are applied to treatment areas

  • Provider monitors patient response and adjusts settings if necessary

  • Patient should notify provider of any discomfort

Post-Treatment / Aftercare

  • Mild warmth or tingling may occur and usually resolves quickly

  • No special recovery required; resume normal activities immediately

  • Follow up as recommended for optimal results

Patient Responsibilities

  • Follow provider instructions before, during, and after therapy

  • Report any discomfort or adverse reactions promptly

  • Attend scheduled sessions to ensure maximum benefit

Acknowledgment & Consent

I acknowledge that:

  • I have read and understood this consent form

  • I understand the benefits, risks, and alternatives of CeraThrive LED Light Therapy

  • I consent to treatment and accept responsibility for my own safety

  • I release AI Wellness Center of Excellence, its staff, and affiliates from any liability except in cases of gross negligence or willful misconduct

I consent to photos or video for educational or promotional purposes, if applicable