• Please complete the details below and return to Victorious Beauty prior to treatment, this form will then be stored. 

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  • By SUBMITTING THIS FORM, you agree to the following:


    1) I give my permission to receive massage services.


    2) I understand that therapeutic massage is not a substitute for traditional medical treatment or medications.


    3) I understand that Victorious Beauty or my estetician  does not diagnose illnesses or injuries, or prescribe medications.


    4) I have clearance from my physician to receive massage therapy.


    5) I understand the risks associated with massage therapy include, but are not limited to:

    • allergic reation
    • Superficial bruising or redness
    • Short-term muscle soreness
    • Exacerbation of undiscovered injury

    I, therefore, release Victorious Beauty or my estetician from all liability concerning these injuries that may occur during the massage session.


    6) I understand the importance of informing Victorious Beauty or my esteticianof all medical conditions and medications I am taking, and to let Victorious Beauty or my esteticianLouise's Nail & Beauty knowabout any changes to these. I understand that there may be additional risks based on my physical condition.


    7) I understand that it is my responsibility to inform Victorious Beauty or my esteticianof any discomfort I may feel during the session so she may adjust
    accordingly.


    8) I understand that I or Victorious Beauty or my estetician may terminate the session at any time.


    9) I have been given a chance to ask questions about the sessionand my questions have been answered.

     

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