Skip to content
The Practice Beauty Clinic
  • 73 Thames St, Sunbury-on-Thames
  • info@practicebeautyclinic.co.uk
  • 01932 783333
Facebook Instagram
  • Treatments

    Face & Neck

    Laser Hair Removal
    Acne Removal
    Age Spot Removal
    Dermapen
    Facials

    Geneo Facial
    Facial Contouring Fillers
    Juvederm Lip Fillers & Enhancement
    Anti Wrinkle Injections

    Body

    Laser Hair Removal
    Body Contouring
    Cellulite Removal
    Tummy Tuck, non-surgical
    Butt lift

    Hair

    Laser Hair Removal

  • Pricing
    • Our Prices
    • Bridal Packages
    • Pay By Installments
    • Vouchers
  • About
  • News
  • Contact
BOOK AN APPOINTMENT NOW

DPW ATP Form Informed Consent Media Release


As part of your DermapenWorld treatment program (Dermapen treatment or Dp Dermaceuticals) we will be photographing the treatment area of your body/face (and in some cases, filming) the treatment process. This will allow us to visually monitor your individual progress and see the results of your treatment over time. We would appreciate your willingness to share your outcomes and results with others, for both training and marketing purposes within the beauty, cosmetic and aesthetic industry. We will use absolute confidentiality regarding your identity when using your pictures. To confirm acceptance of this agreement, kindly sign the consent form below. Also we would be grateful if you could provide a comment as to how you felt about using the proposed treatment program and the results achieved in the space below

I consent to my before and after images from the treatment program being used for publicity through the media or promotions. I understand you will use absolute discretion in respect to my identity
I consent to the attached ‘before and after images’ from a DermapenWorld treatment program provided by myself or treatment providers of our organisation Practice Beauty Clinic being used. I understand you will use absolute discretion in respect to the identity of our client. I understand you will credit these images to our organisation with the following information

With this consent, I give permission for the images/footage (if they are selected) to be used in the following and similar materials: (Please tick one or both preferences)

I, the undersigned, give my full consent for all photographs/footage captured before, during and after my DermapenWorld treatment program, allowing these images to remain the property of and be used by DermapenWorld and or its authorised representatives and hereby agree that my photograph and/or video image may be used as described above.

Your browser does not support e-Signature field.

Your browser does not support e-Signature field.

Your browser does not support e-Signature field.

Sign Up to Get Offers and News

SUBMIT

Please only enter your email above if you agree with our privacy policy and t&cs

Facebook Instagram
The Practice Beauty Clinic

Our results-driven treatments combine the most innovative and effective technology, with safety of our clients in mind at all times in a GP led skin clinic.

Purchasing products? Payments through paypal or card. See our terms for details

Treatments

  • Laser Hair Removal
  • Skin Rejuvenation
  • Dermapen
  • Skin Peels
  • Vascular Lesions, Pigmented Lesions

Find Us

73 Thames Street
Sunbury on Thames
TW16 6AD
info@practicebeautyclinic.co.uk
01932 783333

Mon: 8am – 6pm
Tues: 8am – 6pm
Weds: 8am – 6pm
Thurs: 8am – 3pm
Fri: 9am – 6pm

Quick Links

Treatments
Pricing
Our Prices
Bridal Packages
Pay By Installments
Vouchers
About
News
Contact

Terms and Conditions | Privacy Policy

© 2022 Practice Beauty Clinic. All rights reserved.