Thank you for taking the time to complete the client intake form. ALL of the information above is extremely helpful to ensure the best care for you and ensure your safety during treatment.
Please read and sign below:
- Please note: A facial may cause the skin to purge, resulting in a mils breakout. This is normal and does not mean you are having a reaction to the products. If you experience itching or a rash following your treatment, please take home measures by using an antihistimine, and follow up with your skin care provider for documentation.
- I am aware that certain medications and over-the-counter products can significantly increase the risk of injury when combined with skin care services.
- I understand I may carry Herpes and/or Staph/MRSA without any physical symptoms or medical diagnosis.
- I agree that if my skincare or medication change, I will inform my skin care provider so that they may update my health intake record PRIOR to facial.
- I understand that there are often inherent risks associated with skincare, and I agree that as a condition of providing these services on an ongoing basis I will not hold the spa/service provider liable.