Child Pre Appointment Data

Welcome to Spire Aesthetics Child Appointment booking. This form is for families who have already spoken with a consultant and scheduled an appointment (you should have received a proposed time and date for your child’s appointment).

Please fill out the web form below to verify your Spire Aesthetics Child Appointment details.

Once we receive your submission, we will be in touch if we need any further information.

Child Data form Pre Appointment

* indicates required fields


Male
Female

Parent / Guardian Details

Treatment Information

CryoPen treatment involves the use of extremely cold temperatures to remove benign skin lesions such as warts, skin tags, milia, or other superficial blemishes. This procedure may cause mild discomfort, redness, or blistering as the treated area heals.

Medical History (Child)

Consent & Acknowledgement

  • CryoPen treatment uses controlled freezing to remove benign skin lesions.
  • The practitioner will assess suitability before proceeding.
  • Results are not guaranteed and more than one session may be required.
  • Temporary side effects (e.g. redness, blistering, pigmentation changes) can occur.
  • I will follow all aftercare advice provided.

Yes No

I confirm that I am the parent/legal guardian of the child named above and give permission for CryoPen blemish removal treatment to be carried out.

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