A jet impingement cooling apparatus is provided including a housing having a surface to be directed at a treatment area, an optically transparent region on the surface of the housing through which electromagnetic radiation (EMR) from a source can be directed from the housing to the treatment area, and at least one opening on the surface of the housing through which a fluid flow can be directed to the treatment area to maintain the treatment area at a therapeutically acceptable temperature range while avoiding interference with the EMR being directed at the treatment area.