PRP Injection Treatment
Informed Consent

Description of Procedure

Platelet-Rich Plasma (PRP) is prepared from a small sample of my own blood. PRP contains a concentrated population of platelets and growth factors thought to support tissue healing, regeneration, and collagen stimulation.

The procedure typically involves:

• Blood draw — typically 10-60 mL of blood drawn from my arm
• Centrifugation — blood is spun in a closed-system PRP kit to separate the platelet-rich layer
• Topical or local anesthetic — applied as needed for patient comfort
• PRP injection — into the treatment area using fine needles or, in some cases, applied topically with microneedling
• Procedure duration — typically 45-90 minutes total

Exosomes are NOT used at Navara Health. Only autologous PRP is administered.

Applications & Treatment Areas

PRP may be used at Navara Health for any of the following applications:

The specific treatment area(s) for today's procedure will be documented at the signature page.

FDA & Off-Label Use Disclosure

• PRP injection for aesthetic, hair restoration, joint, and other applications is generally considered off-label
• PRP is generated from my own blood; the FDA generally does not regulate autologous PRP as a drug, but the specific clinical applications remain off-label
• No claims or guarantees of effectiveness are made
• I am voluntarily electing this therapy with full awareness of its off-label status

Potential Benefits (Not Guaranteed)

• Improved skin texture, tone, and appearance
• Improved hair density (with hair applications)
• Reduced appearance of scars or stretch marks
• Reduced joint pain or improved function (with joint applications)
• Supported tissue healing and recovery

Results vary substantially between individuals. Multiple treatments are typically required for optimal results.

Risks & Possible Complications

Contraindications

• Active infection in or near the treatment area
• Active herpes simplex outbreak in facial treatment area (defer until healed)
• Bleeding disorder or active anticoagulant therapy without provider coordination
• Pregnancy or breastfeeding
• Active cancer or recent cancer treatment
• Severe anemia
• Active autoimmune disease in flare
• Known allergy to anticoagulant in PRP kit
• Inability to follow post-procedure care
• Unrealistic expectations

Pre-Procedure Preparation

• Hydrate well in the 24-48 hours before the procedure
• Avoid alcohol for 24 hours before
• Avoid bleeding-risk medications and supplements (aspirin, NSAIDs, fish oil, ginkgo, turmeric, vitamin E) for 5-7 days before, with provider approval
• Eat before the procedure (avoid fasting for blood draw)
• Avoid sun exposure or tanning beds for 48 hours before (facial)
• Arrive with clean skin, no makeup (facial)
• Disclose all medications, supplements, and allergies

Post-Procedure Care

• Apply ice gently to the treated area (10-15 min on, off) to reduce swelling
• Acetaminophen for discomfort; avoid aspirin and NSAIDs for 48-72 hours (may impair PRP function)
• Avoid strenuous exercise, hot tubs, saunas, hot yoga for 24-48 hours
• For facial applications: avoid makeup for 24 hours, sun exposure for 48-72 hours; use SPF daily
• For scalp applications: avoid hair products for 24 hours; do not wash hair for first 24 hours
• For joint applications: relative rest for 24-48 hours; avoid heavy impact for 7 days
• Mild bruising and swelling are expected and may take 1-2 weeks to fully resolve
• Effects develop progressively over 4-12 weeks; multiple treatments may be recommended
• Report fever, severe pain, signs of infection, or unusual symptoms promptly

Alternatives to Treatment

• No treatment
• Topical skincare (facial)
• Microneedling without PRP
• Laser therapy
• Topical or oral hair loss treatments (minoxidil, finasteride) for hair concerns
• Physical therapy, oral/injectable steroids, or surgical evaluation for joint concerns
• Referral to dermatology, orthopedics, or specialty care

Communication & HIPAA Authorization

I authorize Navara Health to communicate with me regarding scheduling, follow-up, and adverse event reporting through patient portal, email, SMS, and telephone. I may revoke any channel in writing.

Assumption of Risk & Release of Liability

I voluntarily assume all risks associated with PRP injection therapy. I release Navara Health, PLLC, Jessica Boggs APRN, the medical director, and affiliated staff from liability for complications, lack of expected results, or outcomes related to undisclosed medical history or failure to follow post-procedure care. This release does not apply to gross negligence or willful misconduct, and does not waive non-waivable rights under Texas law.

Dispute Resolution & Governing Law

Disputes resolved by good-faith negotiation; if unresolved within 30 days, by binding arbitration in Dallas County, Texas. Parties waive jury trial. Governed by Texas law.