Botulinum Toxin (Botox) Consent Form | Editable Word & PDF Bundle

A botulinum toxin consent form template, written by a UK aesthetic physician, designed to stand up to scrutiny. If a patient complains, your consent form is the document that protects you. Generic templates don't.

Every word of this informed consent form was written by a UK-based, internationally renowned medical aesthetic physician and medico-legal expert witness with 10 years' experience in medical aesthetics, cosmetic facial, and oculoplastic surgery. It is structured around post-Montgomery UK consent principles, addresses material risks the way a hospital would document them, and aligns with the GMC's standards for informed consent.

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🛡 WHAT YOU GET - THE 4-FILE BUNDLE

✦ Branded interactive PDF (9 pages) - for iPad and tablet workflows. Patient details, tick-boxes, initials boxes, and signature pads are all fillable on screen. Patients sign with a finger, Apple Pencil, or stylus.

✦ Branded editable Word document (11 pages) - for clinics that prefer print, customise, and sign on paper. Find-and-replace targets are highlighted throughout so you can swap in your clinic name, address, practitioner details, and finance provider in under three minutes.

✦ Plain clinical content (Word, 6 pages) - clean clinical text only, no branding or signature blocks. Drop directly into Pabau, Jotform, Faces, Aesthetic Nurse Software, or any digital consent platform.

✦ Instructions PDF (2 pages) - explains which file is for which workflow, the find-and-replace process, and how to deploy each variant.

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📋 INDICATIONS COVERED

→ Upper face - frontalis (forehead lines), glabella (frown lines / "11s"), crow's feet, brow shape and elevation
→ Lower face and neck - bunny lines, perioral lines, gummy smile, lip flip, downturned mouth corners, dimpled chin, masseter (bruxism and jawline contouring), platysmal bands and the Nefertiti lift

All product brands explicitly named (Botox®, Azzalure®, Bocouture®, Nuceiva®) with brand non-interchangeability declared - the kind of detail that matters when something goes wrong.

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⚖ WHY THIS ISN'T A £5 CANVA TEMPLATE

→ Risks written as headed clinical paragraphs with frequency labelling (common / uncommon / rare / serious / very rare). The way risk should actually be documented under Montgomery v Lanarkshire - not bullet points.

→ Off-label use declared explicitly. Brand-versus-brand non-interchangeability stated. Product disclosure built in. These are the three places generic templates fail and complaints succeed.

→ Initialling box at the end of every section - the medico-legal gold standard for demonstrating section-by-section comprehension.

→ Cancellation, refund, and finance language already structured.

→ Footer makes the clinical and licensing position explicit: single-clinic use, not a substitute for local medico-legal review.

→ Single-clinic licence and single-author authority. No 200 other clinics in your area downloading the same form.

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🩺 WHO IT'S FOR

UK medical aesthetic clinicians - doctors, dentists, registered prescribing nurses, independent prescribers - running a single-clinic aesthetic practice. International clinicians who use UK-style consent also welcome.

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❓ COMMON QUESTIONS

Can I edit it?
Yes. The branded Word doc is fully editable. All clinic-specific placeholders are highlighted as find-and-replace targets - three minutes from download to deployable.

Will it work with Pabau / Jotform / Faces / ANS?
Yes. The plain content Word doc is built specifically for paste-into-platform workflows. Real heading styles, no logo, no signature blocks - the platform handles those natively.

Do I have to credit Cleritas?
No. The footer credit line is licence-required, but you can present the form to patients as your clinic's document. That's the whole point.

What if I run multiple clinics?
Get in touch before purchase - multi-site and group licences are available at standard tiers. Single-clinic licence covers one trading location only.

Is it suitable for nurse prescribers / dentists?
Yes. Written to UK aesthetic clinician standard, applicable to any registered professional prescribing within their scope.

Is it MHRA / GMC / NMC certified?
No template can be - and any template claiming to be should be a red flag. This is a clinician-authored document aligned with UK consent standards. You remain professionally responsible for your consent process.

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📜 WHAT IT IS NOT

This template is not legal advice and not a substitute for local medico-legal review. You remain professionally responsible for the consent process at your clinic. Patient data captured using this template is your clinical record and your responsibility - Cleritas has no access to it.

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📦 INSTANT DOWNLOAD

All four files are delivered immediately after purchase as a single ZIP. Open on Mac, PC, or iPad. No physical product, no shipping, no waiting.

Digital downloads are non-refundable once delivered, in line with UK Consumer Contracts Regulations 2013.

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📐 LICENCE

Single-clinic licence. Use within one trading clinic location. Multi-site, group, and white-label licences available on request. Redistribution, resale, sharing, or use as a template-shop product is not permitted.

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✨ ABOUT THE AUTHOR

Written by a UK-based, internationally renowned medical aesthetic physician and medico-legal expert witness, with 10 years' experience in medical aesthetics, cosmetic facial and oculoplastic surgery.

Cleritas is a trading name of Clean Contracts UK Limited (Company No. 14761725). Single-author, single-standard, single-clinic.

For the full Cleritas template library and additional services, visit cleritas.co.uk.