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Southern Alberta's #1 Airbrush Tanning Service. Join the #healthytanmovement with #canadasbestairbrushtan NOW offering Natural LED teeth whitening!

Teeth Whitening Consent Form


Customer Information and Consent

{When you come for your appointment, we will ask you to fill out this electronic form} 


You may feel a slight tingling or minor blanching of the gums, this is normal and will usually disappear in less than 4 hours. Your teeth will never be whiter than your genetic traits. White spots may appear if you had braces, or have porous enamel, this will usually disappear in 8 hours. The whitening gel is PH neutral and will not damage your enamel, caps, crowns or veneers.

***Please be advised, your teeth can only be whitened to a certain shade and cannot go whiter than your genetic traits allow. ***

If you answer YES to any of the questions below or if you have not had a dental cleaning in the last 6 months, please consult your dentist prior to use. 

Please complete the form below which indicates your consent:

Name *
Phone *
Age *
Complete ingredient information can be provided to you at the time of your appointment.
Release *
Date *

Aftercare and the Follow-up:

For the first hour after use, drink only water. For 24 hours avoid any staining food or drinks. Please review the caution statement on the in-office and home kit prior to use.