• N|M SkinCare Beauty

    Confidential Skin Health Questionnaire
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  • Expectations and History







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  • MEN: If you're working a full beard, you don't have to ditch it before your facial.

    In fact, the products used during your facial may also benefit your facial hair, making it look shinier and healthier/less dryer.

    If you do shave, make sure you do it the 2-3 days before, not the day-of your facial.

    If you have ingrown hairs I'd recommend shaving/trimming the beard. By doing so, products can penetrate a lot better and will give also give us the freedom to do more on those areas.  Basically, giving you optimized results.

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  • Lifestyle & Diet

  • Your practitioner will recommend the appropriate schedule for future facial treatments or physician referral in order to achieve your skin improvement goals.

  • Informed Consent Release

    Please Read the Information Below
  • I fully understand all the questions above and have answered them all correctly and honestly.

    I understand that the services offered are not a substitute for medical care.

    I understand that the skin care professional will completely inform me of what to expect in the course of treatment and will recommend adjustments to my regimen if deemed necessary.

    I also am aware that individual results are dependent upon my age, skin condition, and lifestyle.

    I agree to actively participate in following appoinment schedules and home care procedures to the best of my ability, so that I may obtain maximum effectiveness. In the event that I may have additional questions or concerns regarding my treatment or suggested home product routine, I will inform my skin care professional immediately. 

    I grant permission to [NM SkinCare Beauty., LLC] for the use of photograph(s) or videos of any and all kind whatsoever. I understand that I may revoke this authorization at any time by notifying the spa. Images will be stored in a secure location and only authorized staff will have access to them. They will be kept as long as they are relevant and after that time destroyed or archived.

    I release and hold harmless the skin care professional [Nehemias Mireles], [NM SkinCare Beauty LLC.], and the staff harmless from any liability for adverse reactions that may results from this treatment.

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  • Polices

  • I have read and understand all of the foregoing information

  • 1. We require 48-hours notice for cancellations. If you do not cancel within 48-hours you will charged 50% of the service. Cancellation for Monday must be phoned on the Friday before.

    2. If you are not satisified with your service or products, please contact your skin care professional within 24-hours after your appoinment so that the situation may be corrected. It is our policy to provide you with the best professional service and products customized for your skin condition.

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