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  • FACIAL CONSENT FORM

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  • The following may be contraindicated to your service, please acknowledge if the following may pertain to you:

  • SPA SERVICE AGREEMENT AND RELEASE OF LIABILITY FOR FACIALS

  •  Because spa services should not be performed under certain medical conditions, you affirm that you have stated all your known medical conditions honestly. You agree to keep your Esthetician updated as to any changes of your skin or medical profile and understand that there shall be no liability on the Esthetician's part should you fail to do so. After your service, your skin may experience tightness, dryness, redness, peeling, breakouts and/or hyper pigmentation or scaring. Following more intense treatments you may experience slight swelling and/or blood spotting. Healing may take 24 hours to several days. Please be aware that anytime the skin is broken there is slight risk of bacterial and viral infection. You must keep the treatment area clean and dry for up to one week following your treatment. Moisturize and protect the newly exposed skin with adequate sunscreen (SPF 30 or higher), as you are more susceptible to sunburn and skin damage.

    YOU UNDERSTAND AND VOLUNTARILY ACCEPT ANY RISKS ASSOCIATED WITH THIS SPA SERVICES OR ANY USE OF BELLE'S BEAUTY SKINCARE. THEY WILL NOT BE LIABLE FOR ANY INJURY OR DAMAGE TO YOU OR OTHERS RESULTING FROM NEGLIGENCE OF BELLE'S BEAUTY SKINCARE OR ANYONE ACTING ON BEHALF OF BELLE'S BEAUTY.

    By signing below, I acknowledge that I have read and understood the foregoing consent and agree to the treatments associated risks. I hereby agree to have this service performed and agree to follow all of the pre and post-treatment

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                    Basic FacialDouble Cleanse, Exfoliation, Facial Massage, Extractions, Customized Mask, Toner,Moisturizer, SPF
                    $60.00
                      
                    Hydrating FacialDouble Cleanse, Exfoliation, Facial Massage, Extractions, Hydrating Mask, Toner, serums Hydrating Moisturizer, Facial oils, SPF, Eye Serums, Lip Hydration
                    $70.00
                      
                    Deep Cleansing FacialDouble Cleanse, Exfoliation, Facial Massage, Extra Time For Extractions, Ultrasonic Skin Scrubber, Customized Mask, Toner,Moisturizer, SPF
                    $80.00
                      
                    Signature Caviar Collagen FacialDouble Cleanse, Exfoliation, longer Facial Massage, Extractions, Caviar Collagen Mask, Anti Aging LED Light, Toner, Caviar Collagen Serum, Moisturizer, SPF Eye Cream, lip Hydration
                    $90.00
                      
                    MicrodermabrasionDouble Cleanse, Microderm Machine, Facial Massage, Extractions, Customized Mask, Toner, Serums, Moisturizer, SPF, Facial oils, Eye Cream, Lip Hydration
                    $100.00
                      
                    MicroneedleingDouble Cleanse, Exfoliation, Facial Massage, Extractions, Serums, Microneedleing machine, Customized Mask, Toner, Serums, Moisturizer, SPF, Facial oils, Eye Cream, Lip hydration
                    $100.00
                      
                    Radio Frequency FacialDouble Cleanse, Radio Frequency Machine, Customized Mask, Toner, Moisturizer, SPF, Eye Cream, Lip Hydration
                    $100.00
                      
                    DepositYou can pay in full by clicking the facial options or just leave a $25 Deposit. Deposit is mandatory if service is not paid in full.
                    $25.00
                      
                    Total
                    $0.00

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