I certify that I am not using Accutane and have not done so for at least 6 months. I have also been informed my aesthetician about the use of Retin-A or any other topical medications. I understand that proper sun protection is crucial to aftercare. Should one or more of the foregoing problems arise, I will call Katherine Booth immediately. Early detection and treatment may minimize future complications.
I consent to microdermabrasion and understand that this consent form is valid for the duration of my microdermabrasion treatment(s).