Hylenex Consent Form - A copy of this form is. Osage valley plastic surgery, p.c. I understand i have the right to refuse vitrase. The aesthetic medical treatment known as hyaluronidase (dissolving agent for dermal filler). I hereby authorize the following medical procedure: It is important that you read this information carefully and completely. Hylenex® / hyaluronidase injection patient consent form. Hyaluronic acid is a naturally occurring sugar that is found in all mammals. I understand additional vitrase injections may be required to reach desired results. I have been informed of the risks/side effects of the vitrase injection.
I understand i have the right to refuse vitrase. It is important that you read this information carefully and completely. The aesthetic medical treatment known as hyaluronidase (dissolving agent for dermal filler). Web hyaluronidase (hylenex) treatment consent mandala aesthetics. A copy of this form is. Hylenex® / hyaluronidase injection patient consent form. I understand additional vitrase injections may be required to reach desired results. Osage valley plastic surgery, p.c. I understand that these injections are used to dissolve hyaluronic acid filler material. Hyaluronic acid is a naturally occurring sugar that is found in all mammals. I have been informed of the risks/side effects of the vitrase injection. I hereby authorize the following medical procedure: As a patient of nourished medspa and wellness center, i have requested hyaluronidase (hylenex®) injection(s).