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Cryosurgery Informed Consent Form


Cryosurgery is a treatment using freezing therapy to remove precancers, skin tags, warts, seborrheic keratosis, and skin growths by freezing them. Sometimes it can take 2-3 treatments before it clears.


What to Expect

Cryosurgery is extremely cold. When sprayed on the skins the top skin layer rapidly freezes. When you leave the clinic, the freezing site will probably be red and swollen, and it may sting and itch as it thaws. Expect the site to feel like a bug bite. It may look worse over the next few days before it gets better. Swelling and/or blistering often develop within a day after treatment. 2-3 days after treatment a scab will probably form which will then take 7-10 days to fall off, leaving a pink smooth area.


I am aware of the following possible experiences/risks:


    • There may be pain while the Cryosurgery is applied and afterwards.
    • The treated skin may become red and swollen.
    • You may develop a blister (common), scar (rare), or a slow healing sore at the treatment site
    • Cryosurgery may cause your treated skin to lighten as it can damage pigment cells, leaving a white spot. It can also darken, if you have dark skin or get excessive sun to the area while healing.

We recommend that you clean the area with soap and water daily until it heals. If this area is exposed to dirt, sweat, irritations from clothing or picking, cover daily with a band aid.


(Parent or Guardian must sign if the patient is under 18.)