Celluma Light Therapy Consent Form In order to benefit from our Celluma light therapy treatments we ask that you fill out this consent form prior to your visit. First Name Last Name Consent I am not pregnant I am 18 years or older I do not have a history of seizures or epilepsy I am not receiving cortizone injections or other steroid injections I am not taking photosensitive drugs I do not have any known cancer tumor or metastasis SUBMIT