Sugaring (Hair Removal) Form

Full Name*

Date

Please list any allergies or skin sensitivities*

(e.g. latex, product ingredients, food)

Have you shaved in the last 3 weeks?*

Please wait a minimum of three weeks before booking for best results. The hair must be long enough to pinch in between your fingers (the length of a grain of rice.)

Do you currently have any skin inflammation, rashes or open wounds?*

e.g. active herpes breakout, itchy skin rash, fresh wounds. If yes, please rebook when the area has healed. Sugaring with inflamed skin could further irritation to the skin.

Do you use tanning beds and/or are exposed to the sun on a regular basis?*

It is recommended to wax 48 hours prior to spray tanning for better tanning results due to the exfoliating benefits of sugaring. Spray tanning prior to waxing could irritate the skin and cause the tan to lift. Sugaring is not recommended if you currently have a sunburn, it will cause skin sensitivity.

Have you used any Alpha Hydroxy Acids (AHA) or glycolic products in the past 48-72 hours?*

Please stop using AHA's or Glycolic Acids 2-4 days in advance prior to all facial sugaring services.

Have you used Retin-A, Renova, or Accutane within the past year? If so, when?*

Please stop using Retinoids 3-5 days prior to your appointment. Retinoids are a form of exfoliation and so is sugaring. It is important not to continue using retinods while sugaring to avoid skin lifting, and/or scarring.

Are you currently taking any medications? If so, please list them*

e.g. acne medications. Medications that effect the skin are a concern, as they may thin the skin making it more sensitive to hair removal.

Please list any illness/conditions which you are currently being treated for by a medical professional.*

Some illness/conditions may cause skin sensitivities.

Have you ever tried Sugaring before? If yes, where?

Have you ever tried traditional waxing (soft/hard wax) before? If so, how was your experience?

How did you hear about Skin + Yoni?

Is there anything you would like for me to know prior to your session?

e.g. I'm on my period, I have sensitive skin,

I have read the above intake questionare and have given an accurate account of the questions. I understand that failure to do so may lead to certain side effects from sugaring/ such as such as skin redness, inflammation, tenderness, etc.

If I have any concerns, I will address these with my Esthetician.

I give permission to my Esthetician to perform the procedure and will hold her harmless from any liability that may result from this treatment. I agree to adhere to all safety post care including: no peels, tanning, or wet room services; no working out or intercourse for 24 hours, no swimming/spas/hot tubs for 72 hours after waxing; and all home skin care protocols as recommended by my service provider.

I understand that my Esthetician will take every precaution to minimize or eliminate negative reactions as much as possible.

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