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INSTANT CALM ULTRA COMPLEX
  • INSTANT CALM ULTRA COMPLEX
INSTANT CALM ULTRA COMPLEX
$66.00

Latisse Patient Consent Form

Thank you! Your medical questionnairehas been submitted successfully.
Please fill out all required fields.

1. Ocular History (Eyes)

Are you currently using any prescription eye drops for Glaucoma or ocular hypertension? (e.g., Lumigan, Xalatan, Timolol)
Have you ever been diagnosed with high eye pressure (Ocular Hypertension) or Glaucoma?
Have you had any eye surgery in the last 6 months (Cataract, LASIK, etc.)?
Do you have a history of eye inflammation (Uveitis or Iritis)?
Do you have any active eye infections or chronic "dry eye" symptoms?
Do you wear contact lenses? (Note: Lenses must be removed before application)

2. Medical History

Do you have any known allergies to Bimatoprost or other prostaglandins?
Are you currently pregnant, planning to become pregnant, or breastfeeding?
Do you have a history of skin sensitivity or eczema on your eyelids?

3. Informed Consent & Risks

Please initial next to each point to acknowledge you understand the potential side effects:

Permanent Pigmentation: I understand that Latisse may cause increased brown pigmentation of the colored part of the eye (the iris), which is likely permanent.
Skin Darkening: I understand that darkening of the eyelid skin may occur but is typically reversible if the product is discontinued.
Hair Growth: I understand that hair growth can occur in any skin area that Latisse frequently touches; I will blot any excess solution.
Common Irritation: I understand that eye redness, itchiness, and dryness are common side effects.

Patient Attestation

I certify that the information provided above is true and accurate to the best of my knowledge. I have been informed of the potential side effects and the proper application technique.

Details
Relieves discomfort on contact – signs of redness within minutes; great on sunburn, after waxing or tweezing, before and after AHA and other irritating treatments, laser, microdermabrasion, or other non-ablative procedures. 

Actions


    • Relieves signs of tingling, stinging, and other discomfort on contact

    • Visibly reduces signs of redness within minutes (even helps relieve redness in some rosacea skin tones with twice-daily use over time)

    • It helps control signs of irritation caused by AHAs, Vitamin C, or microdermabrasion

    • Calms skin after waxing, tweezing, sunburn, or sun exposure

    • It helps reduce the risk of peeling or roughness after sunburn

    • It helps protect barrier lipids to keep skin soft and supple when exposed to smoke, smog, or UV

    • Worn daily calms sensitive skin and helps control the underlying cause of aging

Skin Conditions

Redness, Tingling or Stinging | Waxed or Tweezed Skin | Chronically-Sensitive | Acne-Prone | Exposure to Tobacco Smoke, Urban Smog or UV Light | Itchy, Non-Poisonous Insect Bites or Stings Barrier Damaged | Post-Peel, -Laser And -Microdermabrasion | Sunburn | Rosacea-Prone | Exposure to AHAs, Vitamin C, Sunscreens or Other Irritants. 

Home Care

Gently apply 1-3 pumps of Instant Calm Ultra Complex over sensitive areas. Whenever possible, apply to clean skin. Wear alone or under moisturizer. \n

 Ingredients

White, Green & Red Tea | calm signs of redness and tingling in seconds EGCG (Epigallocatechin Galltyl Glucoside) | one of green tea’s most active molecules, it has powerful antioxidant capacities and soothing properties; captures free radicals, detoxifies, and helps prevent the aging effects of stress and pollution Kola, Mate & Guarana Extracts | reduces signs of irritation caused by AHAs, sunscreens, acids Algae Extract | seaplant-derived hydrator; improves skin’s barrier and moisture-holding ability Glycerin | plant-derived hydrator; remoisturizes skin’s natural barrier Cortinhib™ (Helichrysum Italicum Extract) | inhibits the visible effects of cortisol, controlling signs of aging due to stress; anti-inflammatory, anti-allergic, and antimicrobial
Materials + Care

We prioritize quality in selecting the materials for our items, choosing premium fabrics and finishings that ensure durability, comfort, and timeless appeal.
Shipping + Returns

We strive to process and ship all orders in a timely manner, working diligently to ensure that your items are on their way to you as soon as possible.

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