Dermatology multi-disciplinary and multi-cultural

On this page, we have collected various PDF documents. Just click on the download symbol on the left of each paragraph and the document will open in a separate browser window or tab. From there onwards the documents are at your disposal. As these collections aren't necessarily the same in our other language versions, feel free to consult the Netherlands-Flag-iconNederlandse Versie and the Germany-Flag-iconDeutsche Version, as well.
General Downloads
Contract regarding your treatment: This includes an agreement between you as the patient and the StatenClinic. We kindly ask you to sign this contract before any medical treatment
For ONVZ clients only: Invoices of patients who are insured by ONVZ under the Dutch compulsory system, are submitted by the StatenClinic to ONVZ directly, together with a waiver form to be signed by the patient. The waiver formcan be downloaded here.
Laser Treatments (brochures)
The brochures which we have collected below stem from the supplier of our laser/IPL device, Lumenis®. We did not change the content, apart from adding our name stamp and contact details.

The Leg Veins & Vascular treatments enable us to effectively treat spider veins, reticular veins (blue veins), broken capilaries and rosacea. The technology enables tailoring of the light source and energy to target the vascular condition and cause it to fade away. This is a brochure of the supplier of our laser/IPL device, Lumenis®. We did not change the content, apart from adding our name stamp and contact details.
The photofractional (FX) treatment is a complete skin rejuvenation solution, enabling us to offer you remarkable results on a range of skin aging concerns such as age and sun spots, vascular lesions, uneven texture and skin tone. The technology includes two solutions, IPL (Intense Pulsed Light) and FX non-ablative skin resurfacing, so that both skin tone and texture can be treated at the same session.
The IPL Photorejuvenation treatment enables us to offer you remarkable results on a range of skin concerns such as age and sun spots, freckles, birthmarks, rosacea and broken capillaries. The IPL (Intense Pulsed Light) technology gently and effectively eliminates spots, discolorations, and unwanted blood vessels.
The IPL Hair Removal treatment is a safe, non-invasive treatment that permanently reduces hair growth, resulting in smooth, beautiful skin. The IPL (Intense Pulsed Light) technology targets the hair follicles, and impairs their ability to grow hair. IPL hair removal is effective on black, brown and red hair.
The IPL (Intense Pulsed Light) Acne Treatment enables us to greatly improve your skin appearance, reduce your acne, while at the same time treat the redness and pigmentation of your skin.
The IPL (Intense Pulsed Light) Acne Treatment for male patients.
The photofractional (FX) treatment is a non-invasive method for improving the appearance of Stretch Marks on different areas of your body. The technology includes two solutions, IPL (Intense Pulsed Light) and photofractional non-ablative skin resurfacing, so that both skin tone and texture can be treated at the same session.
The photofractional (FX) treatment is a fractional skin rejuvenation solution, enabling us to offer you remarkable results for younger, healthier, glowing looking skin. The fractional rejuvenation technology, a non-ablative skin resurfacing, allows for comfortable, fast treatment, with remarkable results.
We kindly ask you to download and to sign this informed consent about Nd:YAG laser treatment.
We kindly ask you to download and to sign this informed consent about ResurFX treatment.
We kindly ask you to download and to sign this informed consent before any IPL treatment.
Light Therapy (brochures)
This flyer will give you some details on our UV-B therapy which we apply in house. UV-B therapy is a therapy that uses ultraviolet light. The light in the cabin is artificially generated by means of special fluorescent tubes. This light can have a positive impact on certain skin conditions. This is because the light supresses the inflammations, leaving the skin in an improved condition.
This flyer will give you some details on our PUVA cream therapy, which we apply in house. The treatment makes use of ultraviolet light combined with a cream which includes psoralens. This cream guarantees an optimal absorption of light through the skin. Psoralens are vegetable substances which make the skin extra sensitive to UV light.
Photodynamic therapy (PDT) is a treatment form that is used in a number of skin conditions. By means of red light (water-filtered infrared) abnormal skin cells are destroyed. Prior to the light treatment the skin is made sensitive to this light with a special cream.
Medical Aesthetics (brochures)
Acne therapy flyer.
Blue light therapy is a very simple and natural therapy that is suitable for all skin types. It has a stimulating effect on the circulation of the skin and on the cells that help create and maintain collagen and elastin. It also destroys the p. acnes bacteria, which causes the acne.
We kindly ask you to download and to sign this informed consent before a regular peeling.
We kindly ask you to download and to sign this informed consent before any TCA peeling.

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