This disclosure is intended to inform you about the risks associated with Ear Wax Removal (Micro-Suction, Irrigation or Manual Curette) so that you may make an informed decision as to whether to give your consent to the procedure. PLEASE READ THE FOLLOWING CAREFULLY I acknowledge that the procedure proposed to treat my condition is Ear Wax Removal. I understand that this medical procedure involves risks, including, but not limited to, skin laceration and pain, skin irritation, external ear canal trauma, tympanic membrane perforation, vertigo, otitis externa, audio-vestibular loss, transient hearing loss, dizziness, or infection. I also understand that each person reacts differently to Ear Wax Removal, therefore, the results of this medical procedure may vary. ACKNOWLEDGEMENT I understand the procedure and consent to, and accept the risk of, the procedure; •I have had the opportunity to ask questions and these questions have been answered to my satisfaction; and •release OSSIL8 & Craig Pevitt from any and all liabilities associated with the aforementioned procedure/s. •Understand that this consent remains valid for continual and consecutive treatments, until revocation.