• Skin Deep Day Spa, LLC

    1212 Wildwood, Suite  A & B, Jackson, MI  49202

    517.990.9088   -   skindeepspajackson.com

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  • Glytone by Enerpeel - Medical Chemical Peels

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  • By selecting YES to any or each of the below questions &/or statements I am indicating that I fully understand the question &/or statement and I agree with an affirming YES to it’s accuracy as it pertains to me &/or my treatment.

  • Note: All prices are subject to change without prior notice. Skin Deep Day Spa, LLC.

  • In signing this form, I acknowledge and testify to the following.

    All information I have given both written &/or verbally, is true to the best of my knowledge and it is my sole responsibility to inform &/or update Skin Deep Day Spa, LLC as to any changes is my health status &/or treatments rendered or to COVID-19. I further hereby knowingly consent to receive treatment from Skin Deep Day Spa, LLC.

    I understand the following cancellation policy: I understand the following cancellation policy: Cancellation of appointments with less than a 24-hour notice are charged a cancellation fee of 50% of the missed service. Spa Packages and Spa Parties will need to give a 48 hour notice. The credit card on file is charged a fee of 100% of the missed service and will be required to place a nonrefundable deposit to schedule future appointments. Two no shows in a 12 month period will result in termination of our practice. 

    By signing this form, I hereby release, hold harmless, waive, discharge, and covenant not to sue Skin Deep Day Spa, LLC, its directors, officers, employees, volunteers, and agents with respect to any liability for any injury, loss, and/or damage (including, but not limited to, illness or death) that I may sustain related to services &/or treatments rendered. I further hereby knowingly consent to receive treatment from Skin Deep Day Spa, LLC

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  • CHEMICAL PEELS TREATMENT FORMS

    Glytone - Medical Peels - Pre & Post Care

  • Pre & Post Care - Chemical Peels

    • If you have not had a Chemical peel with us, you must first schedule a consultation with one of our Estheticians. Your skin will need to be on a preconditioning skin care regimen to prep the skin for these peels. This is crucial and will give your skin a safe and effective peel. You will also receive the optimal outcome.
    • Discontinue 10 days prior, the use of Retin-A, Tazorac, Renova, Differin, Avage, Epiduo, Ziana and high percentages of Alpha and Beta Hydroxy acids.

    • Do not use a tanning bed two weeks before a treatment.

  • Post-Treatment Care:

     

    • You may resume your daily activities or return to work immediately.  Mineral makeup can be re-applied immediately if desired.  Your skin may feel extra sensitive.  It is normal to see a little redness for part of the day.
    • Minimize sun exposure. It is imperative that no tanning is done while you are undergoing these treatments.

    • For the next 24 hours, strenuous exercise, or any activity that causes excessive perspiration can be irritating.
    • Apply moisturizer twice daily until the skin returns to its normal state.
    • Use sunscreen SPF 30 or higher every morning.  Sunlight on the skin after a peel can cause brown discoloration of the skin.
    • You may apply mineral makeup the day after your peel.
    • Refrain from waxing, electrolysis or depilatories for at least 7 days.
    • Delay use of Retin-A, Tazorac, Renova, Differin, Avage, Epiduo, Ziana and high percentages of Alpha and Beta Hydroxy Acids.
    • Do not pick or pull on any loosening or peeling skin.  This could cause discoloration.
    • Do not go swimming.
    • Do not put your face directly into hot shower spray.
    • Do not use Jacuzzi, steam room or sauna.
    • Do not use loofahs or other means of exfoliation.
    • Do not direct a hair dryer onto the treated area.
    • Wait for a minimum of 2 hours before applying water and 6 hours if you received a Pyruvic peel.
    • Avoid tweezing, waxing, bleaching, or laser services during the course of the treatment.

  • Skin Deep Day Spa, LLC

    1212 Wildwood Ave, Suite A & B, Jackson, MI 49202

    517-990-9088 -  skindeepspajackson.com

  • PHOTO RELEASE FORM

  • I       authorize Skin Deep Day Spa to take photographs of my face/treatment area. With the sole intent of encouragement to others that may be considering the same or similar procedure, your photos may be considered of such a good quality that we may choose them for the spa photo album, or social media advertisement to educate future clients, such as Instagram and/or Facebook. At no time will any personal information or name be given. These photographs may be used for client referrals and/or educational purposes.

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