LED Light Therapy Consultation/Consent Form

Client Details

Medical History

Emergency Contact Details


Fitzpatrick skin types:

1) Very pale white skin, often with green or blue eyes and fair or red hair - burns without tanning
2) White skin, often with blue eyes - burns and does not tan easily
3) Fair skin with brown eyes and brown hair - burns first then tans
4) Light brown skin, dark eyes, and dark hair - burns a little and tans easily
5) Brown skin, dark eyes, and dark hair - easily tans to a darker color and rarely burns
6) Dark brown or black skin, dark eyes, and dark hair - never burns but tans darker

Treatment Information

What is Light Therapy?

To put it simply, light therapy uses varying color wavelengths of visible LED (light emitting diode) light to provide specific benefits to your skin. Your skin uses this light as a source of light energy to aid in the killing of bacteria. As the light triggers these natural responses in your body it can help promote improvements in the skin as a result of sun damage, acne, rosacea, eczema, psoriasis, dermatitis, sensitive and inflammatory conditions, wound healing and scarring to restore the skin’s radiance.


Types of Light Therapy

The benefits of light therapy are actually tied to the color of light used on your skin. As each color of light has different wavelengths, they affect the skin differently and provide varying results.

Blue Light - Known for its powerful antibacterial properties, blue light is the treatment for acne. The light effectively treats active breakouts without irritation while reducing oil production and helping prevent future acne. Blue light is also a UV-free alternative for the treatment of eczema and psoriasis as it reduces itch and calms inflammation.

Red Light - Most often used for its anti-aging effects as it is especially effective in helping to combat wrinkles, fine lines, sun spots, discoloration, and other visible signs of maturing skin. Specifically, the low wavelengths of red light can help to increase natural hydration levels, reduce redness and inflammation, regulate oil production, and even improve circulation.

Near Infra-Red Light - Very similar to red light, near infra-red light is the most deeply absorbed wavelength, this treatment helps smooth lines and wrinkles, improve skin resiliency, reduce pain and inflammation, and accelerate the wound healing process, including cystic acne. This type of light simply works at a deeper level than red light alone which fights the signs of aging that occur closer to the skin’s surface.


Treatment Frequency

Each LED light therapy treatment lasts around 20 minutes. You’ll likely need up to 10 treatments in total, depending on the results you’re looking to achieve.

Potential Side Effects and Risks

LED light therapy is a safe, relatively risk-free treatment.

It’s rare to experience side effects from LED light therapy. If side effects do occur, they may include:

  • Increased inflammation
  • Rash
  • Redness
  • Pain

If you have any concerns following your treatment please contact your practitioner.


LED light therapy is noninvasive, so no recovery time is required. You should be able to continue with your everyday activities once your treatment is over.

You may start to see minor results after your first session. Results will be more dramatic and noticeable once you’ve finished all of your treatments.

Even after you’ve achieved the recommended number of sessions, your results aren’t permanent.


Aftercare Advice:

  • Always wear a broad spectrum UVA & UVB sunscreen
  • Don’t clean your skin in the evening after your treatment
  • Allow the serums to soak in and work overnight
  • Gently cleanse your skin using a mild cleanser for 48 hours post-treatment
  • Avoid sunbeds and tanning in direct sunlight
  • Avoid saunas, steam rooms and swimming pools for 24 hours post-treatment


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