Please note that waxing can have certain side effects such as skin removal, redness, swelling, tenderness, etc.
I have read the above information and have given an accurate account of the questions and if I have any concerns, I will address these with my esthetician. I give permission to my esthetician to perform the waxing procedure we have discussed and will hold her harmless from any liability that may result from this treatment. I have given an accurate account of the questions asked above including all known allergies or prescription medications of products I am currently ingesting or using topically. I understand my esthtetician will take every precaution to minimize negative reactions as much as possible. I have read and understand the prost treatment home care instructions. I am willing to follow recommendations made by my esthetician for home care regimen that can minimize or eliminate possible negative reactions. In the event that I may have additional questions or concerns regarding my treatment or suggested home products / post-treatment care, I will consult the esthetician immediately. I agree that this constitutes full dicolosure, and that it supersedes any previous verbal or written disclosures. I certify that I have read and fully understand the above paragraphs and that I have had sufficient opportunity for dicussion to have any questions answered. I understand the procedure and accept the risks. I do not hold the esthetician or the institution responsible for any my conditions that were present, but not disclosed at the time of this ckin care procedure, which may be affected by the treatment performed.