I offer a simple payment plan!
Choose your package . . .
For example the 8 session Face/Neck package is the best per area deal and will offer the best results.
* Pay a $100 nonrefundable deposit.
* Pay the session fee of $300 in full 24 hours before each appointment.
* The $100 deposit will be added to the 8th session so the last session fee would be $200.
Venmo/CashApp/Zelle
Message me to start!
Please read. A hard copy will be ready to complete/sign at your first appointment. Please message me with any questions!
Medical History and Consent
Full Name ______________________________________________________________________ Date_______________________ Email____________________________________________
Phone (______)_________________________
Mailing Address (optional): ____________________________________________
Who may I thank for your referral? ________________________________________
Current Medications (please list) _______________________________________________
Have you taken Accutane within the last year? Y / N __________________________
List any Allergies ____________________________________________________________
What concerns would you like to address?_____________________________________________
Please Read Carefully - Have you had or do you currently have any of the following?
Check any that apply
____Cancer ____Cold Sores ____Contact Lenses ____Hemophilia ____Dermatitis / Eczema
____Diabetes _____Insulin dependent ____Latex Sensitivity / Allergy ____Keloid Scar
____ Epilepsy ____Problems with Healing ____Tattoo / Permanent makeup ____
____ Chemical peels ____Laser Resurfacing ____Pregnant / Nursing ____Plasma Pen Treatment
_____ Hyperpigmentation _____ Melasma ______ Cosmetic Surgery _______ Lash Extensions
_____ No Botox in the last two weeks ______No Injectable Fillers in the last two weeks
____ Pacemaker______ Electrical implant with slow release medication
* If you suffer from any of the above, it is important that you notify your technician so that they can take the necessary precaution to ensure you receive the best treatment to avoid any risks to your health.
Additional Notes: _________________________________________________________________________________
PLEASE READ CAREFULLY AND INITIAL / SIGN WHERE INDICATED.
Ensure all points below have been discussed with the technician. You are signing to state tha4t you understand and accept these terms.
1. I acknowledge that any information contributed by me is true, to the best of my knowledge and that the present condition of the area that has been or will be treated is stated on this record. I fully understand that Mary Jordan/Just Jet Plasma LLC, provides Jet Plasma/Light Therapy services. There is no medical treatment involved. Jet Plasma Treatment is an art - not an exact science - and cannot guarantee an exact shrinkage result due to skin elasticity and individuality which includes client”s health, genetics, lifestyle factors and following proper aftercare. (Initials)______
2. I understand that Jet Plasma requires sessions, minimum 4 suggested for best results and that I may be required to return for additional treatments before the overall procedure is deemed complete. The payment for any additional work, (if applicable), will be agreed prior to the treatment commencing. Depending upon area of treatment, additional treatments cannot be performed until 6-8 weeks after 8 sessions in the same area to allow sufficient healing time/cell turnover. (Initials)______
3. I realize that with any beauty service there may be certain risks, which must be understood. I will be fully responsible for any and all results, which may arise from these beauty services. I do hereby agree to hold Mary Jordan/Just Jet Plasma LLC, free from any and all claims or suits for damage, for injuries or complications resulting from any beauty services provided by Mary Jordan/Just Jet Plasma LLC. (Initials)______
4. The skin type of every client is different and although Jet Plasma is safe for all Fitzpatrick, it is important you follow aftercare instructions. Additional sessions may be advised after the healing process is complete. (Initials)______
5. I understand that taking before and after photographs of the said procedures is a requirement of such procedure. I grant permission for the use of the photographs, or electronic media images as identified, in any presentation of all kinds.
(Initials)______
6. I have received pre and post procedure instructions and will strictly adhere to them. I understand that my failure to do so may jeopardize my chances for a successful outcome.
(Initials)______
7. I understand the importance of my accurate and complete medical history. I understand that withholding any medical information may be detrimental to my health and safety during and after the procedure. I understand that if there is any change in my medical history it is my responsibility to inform the technician. (Initials)______
8. I am aware that any skin altering procedures such as laser treatments, plastic surgery, implants, injectables and weight gain or loss may alter the treatment’s look. (Initials)______
I, the client, agrees with all points listed and discussed, and wish to proceed as recorded with procedure with Mary Jordan/Just Jet Plasma LLC. I participated fully in the decision for the selected area or areas intended for my Jet Plasma Pen Treatment. I certify I have read and initialed the above paragraphs. I have had it explained to my understanding therefore I consent to this procedure. I accept full responsibility for the decision to receive this treatment and do not hold Mary Jordan/Just Jet Plasma LLC responsible for any adverse reaction.
Client’s Full Name
Print____________________________________________________________________
Client Signature_____________________________________________Date_______________
Treatment Agreement
I, Mary Jordan/Just Jet Plasma LLC, confirm I have checked all paperwork including consent forms and medical history, I have discussed all procedure points with my client and they understand all elements of the Jet Plasma Pen Treatment. Aftercare advice has been verbally presented to the client and written instructions will be provided.
Technician Signature __________________________________
Date _______________________________
Consent to follow Aftercare
I_____________________________ agree to follow the aftercare I have been provided by my Jet Plasma practitioner.
Following your treatment, due to the channels in the skin being open it is important that nothing is applied to the skin for 12 hours other than what your skin care professional puts on your skin.
I understand if I do not follow the Aftercare Instructions I have been given I may experience a negative outcome. Minimum 4 sessions are recommended for Jet Plasma.
Signed _____________________________________________ Date ______________
Jet Plasma is the newest most advanced plasma technology used to brighten and tighten skin, shrink pores and promote high levels of collagen regeneration. Each treatment increases skin density by 14.8%.
It is an extremely powerful device that penetrates 13,000 volts of plasma through the epidermis, into the dermal and subcutaneous layers of the skin stimulating high levels of collagen and remodeling the cellular structure from the inside out. When Jet Plasma is mixed with oxide oxygen, ozone is created which kills surface bacteria and is anti inflammatory.
No. This is a completely pain free, relaxing treatment. It may feel slightly warm in some places.
Treatment sessions vary from 40 - 90 minutes depending on how many areas are covered, ie the combined Face & Neck treatment will lean toward 90 minutes.
I take my time and pass over the earlobes as well during my facial treatment as they also show signs of aging due to loss of collagen and elastin.
After Jet Plasma is complete I apply Anti-Aging Serum or Acne Serum.
We end the session with 10 - 15 minutes of red light therapy which reduces inflammation, promotes healthy circulation, decreases fine lines and wrinkles, increases skin's firmness and elasticity and improves skin's texture and tone.
Blue Light will be used for Acne treatments.
Yellow light will be used for Rosacea treatments.
Nothing else should be applied for 12 hours after treatment/no exercise, sauna, steam, tanning or spray tans.
Jet Plasma aids in calming keratosis, eczema and rosacea. It is used to tighten the skin, diminish wrinkles, diminish hyperpigmentation, treat acne, scarring, stretch marks and aids in product absorption that otherwise couldn't penetrate as deep without needle injection.
Nothing else should be applied for 12 hours after treatment/no exercise, sauna, steam, tanning or spray tans.
For this reason I offer late afternoon/evening appointments so you can resume your normal routine the next morning.
Unfortunately Jet Plasma cannot be performed in these situations ~
* Pacemaker
* Pregnancy
* Hypersensitivity (medically diagnosed)
* During any Phase of Cancer Treatment or Cancerous Lesions Present
* Implanted Neurostimulator
* Any Electrical Implanted Device or
* Implanted Slow Medication Release
It is suggested to wait 2 weeks after Botox or Fillers.
Jet Plasma is showing remarkable improvement in stimulating significant hair growth on thinning hair in as little as 4 weeks!
Many times results can be seen after the first treatment! We do take before and after photos at each session.
I offer packages of 4, 6 and 8 sessions. (The per session price of the facial package will be your per treatment cost in the future after your sessions are completed.)
Sessions can be done 48 hours apart and it's important to get the first two sessions done in the first week. They can be done once a week after but should be completed in a timely manner for best results.
After 8 sessions there should be no more treatments in that treatment area for at least 6-8 weeks for full cellular and collagen regeneration. Then reassess.
Yes! Jet Plasma is perfect for whatever area you prefer to treat. Each area price package will mirror the facial treatment package.
Contact me! We can connect on Whatapp to address other areas of concern.
Red Light Therapy stimulates cells in the dermis called fibroblasts which triggers an increase in the production of the major skin proteins of the dermis, collagen and elastin.
Blue Light can be effective at treating acne and preventing new breakouts.
Yellow is used to calm Rosacea/Inflammation
1 - 3 years as normal aging continues. When you are liking your results you can continue maintenance treatments once or twice a year or as you desire.
Message me for your special discount package price!
By email to me!