For everyone's safety, If you answered "yes” to any of the questions (except #6) you will be to contacted to reschedule your appointment. Thank you for your understanding.
COVID-19 is a highly contagious virus that spreads from person to person. In addition to long-held and explicit sanitation
measures this business has always adhered to, new preventative measures have been put in place to further reduce the
spread of this novel coronavirus. However, these best practices still offer no guarantee regarding your potential risk of being
Consent for Treatment
I understand that, because esthetics involves maintained touch and close physical proximity over an extended period of time, there may be
an elevated risk of disease transmission, including COVID-19. By signing this form, I acknowledge that I am aware of the risks involved from
receiving treatment at this time, I voluntarily agree to assume those risks, and I release and hold harmless the practitioner/business from any
claims related thereto. I give my consent to receive treatment from this practitioner.