Waxing Consent Form

Please answer the health and skin checker for the safety of the procedure:

Rows	Yes	No	Remarks
Have you done any waxing before?
Are you currently taking any medications?
Have you had any skin thinning treatments before?
Are you Pregnant? (Female)
When is your next menstrual cycle? (Female)
Do you have sensitive skin?
Do you have skin allergies?
Do you bruise easily?
Are you prone to scarring and hyperpigmentation?

Are you currently using any cosmetic products that may contain the following substance? Kindly check if yes and if no, leave it blank.
Waiver Consent
I am providing my consent to complete the procedure I am requesting for I am duly aware of the side effects of waxing to my skin during or after the procedure such as:
skin redness, swelling, skin irritation, bruises, or bumps. If any of these side effects arise, please contact your service provider immediately.

For intimate waxing it is advisable to take a pain reliever at least 30 minutes prior to your appointment. Also, avoid drinking caffeinated drinks prior to waxing, which can over stimulate your nervous system.

I hereby affirm that I have read and fully understand the above, am over eighteen years of age and am legally liable for my own decisions/actions.

By signing below, it means that I agreed to the terms indicated in this document.
Customer Signature
Date Signed

MonthDayYear
Date
Should be Empty:

Waiver Consent