Although it is impossible to list every potential risk and complication, the following conditions are recognized as contraindications for a Facial and must be disclosed prior to treatment.

1. Nickel(dermaplane) or fruit Allergy 
2. Active Acne (for dermaplane) or Herpes Infection (on face)
3. Eczema or Dermatitis (for dermaplane)
4. Hemophilia or taking blood thinners (for dermaplane facials)
5. Uncontrolled Diabetes, Lupus
6. Sunburn and windburn
7. Skin Cancer, Cancer Therapy, Chemotherapy or Radiation
8. Thick, dark terminal facial hair (for dermaplane facials)
9. Use of Accutane or Isotretinoin within the last year
10. Family history of Hypertrophic Scarring or Keloid Formation (for dermaplane facials)
11. Telangiectasia (erythema may be worsened or brought out by exfoliation)
12. Hormonal Therapy that produces thick pigmentation
13. Vascular Lesion, Malignant Skin Tumors, open Lesions, Scleroderma & Keratoses
14. Oily Skin for Dermaplane (Microdermabrasion would be better!)
15. If your skin is broken or extremely irritated
16. If you are allergic to Salicylic Acid, Benzoyl Peroxide or Sulfur (acne patients, please email us before scheduling)
17. Photosensitive medications (if getting LED Light)
18. Chemical peel within the last month or used retinol in 72 hours.
    
     

1) I have revealed any conditions, medications or allergies that may affect procedure.

2) I understand that although complications are rare, sometimes they occur. In the event of a complication or allergic reaction, please contact GLO and seek medical treatment if necessary.

3) I understand there may be some degree of discomfort from the treatment, for example tightness or stinging.

4) In some cases you may experience small skin abrasions.
There may be a small possibility of bruising or increased surface blood vessels 

5) I understand that before and after photo’s will be taken for medical records. These will not be displayed publicly unless you agreed to the media consent below.

6) I reviewed and agree to GLO Beauty policies on lateness, cancellations, no show, rescheduling and sickness which were provided at booking.

7) In order to provide you with the best possible care, we occasionally send emails and/or SMS/MMS mobile messages from 614-880-8222/myglobeautybar@gmail.com or from our booking app to our clients. Depending upon your phone coverage, text fees may apply. I agree to allow GLO to send these messages/texts and understand there is an option to opt out of both of these services in the future. Please note you may not receive important appt info if you opt out.

8) The outcome of any treatment cannot be guaranteed and for some treatments, a series may be necessary. Results are highly dependent on age, sun exposure, health, lifestyle, genetic traits, skin condition, and a willingness to follow recommended protocols and home care.

9) I have reviewed and agreed to follow pre and post care instructions located at https://www.myglobeautybar.com/facialinfo

10) I have been informed of the possible risks and complications, pre and post care, recommendations, contraindications and the expected sequence of the healing process and have chosen to proceed with the treatment after careful consideration of the possibility of both known and unknown risks, complications, and limitations. 

 11) I give permission to GLO Beauty Bar, to perform a Facial (and any add on services requested) and will hold him/her and his/her staff harmless from any liability that may result from this treatment. I understand he/she will take every precaution to minimize or eliminate negative reactions.

On occasion we use photos online, on social media or in marketing materials. YOU MAY OPT OUT BELOW.

If you agree, you give GLO Beauty Bar, LLC permission to aquire and use your photo, video, and/or voice. You agree that GLO Beauty Bar, LLC has complete ownership of said pictures, videos, etc., and may edit, alter, copy, exhibit, publish, or distribute them for advertising, educational and marketing needs. These uses include, but are not limited to websites, social media, before and after photos, publications, advertisements, promotional, educational materials or for any other lawful purpose in any medium now known or later developed.

You acknowledge that you will not receive any compensation, etc. for the use of such pictures, etc., and hereby release GLO Beauty Bar, LLC from any and all claims, which arise out of such use. You understand that GLO Beauty Bar, LLC cannot control unauthorized use of images, video or audio by persons not associated with GLO Beauty Bar, LLC once material has been published. You hereby forever waive any right to inspect or approve any publication by GLO Beauty Bar. 

By signing below, I acknowledge that I have read and understood the above information, answered truthfully, and given an accurate account of my medical history. I agree that this constitutes full disclosure, and that it supersedes any previous verbal or written disclosures. I certify that I have had sufficient opportunity for questions or concerns regarding my treatment or suggested home product/pre/post-treatment care. In the event that I may have additional questions or concerns, I will consult my esthetician immediately.  This consent form is valid for all future Facial treatments. I agree to alert the staff if there are any future changes to my medical history.