ACNE BOOTCAMP INTAKE FORM
  • ACNE BOOTCAMP INTAKE FORM

    ODYSSEY SKIN LOUNGE
  • Date
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  • Do you give Odyssey Skin Lounge to share your progress/treatment photos on social media for a $15 discount off your service?
  • IMPORTANT: Please read carefully and check each box in agreement
  • WARNINGS: Please read carefully and check each box in agreement
  • RESCHEDULING GUIDELINES, LATE POLICY LIABILITY RELEASE: Please read carefully and sign below in agreement

     A 24-hour rescheduling notice is required. We realize emergencies happen and will be considered, but reserve the right to charge a $50 fee for missed appointments without a 24-hour notice. If you are more than 10 minutes late, we cannot guarantee that we will be able to fit your appointment into the schedule and you may not be seen. If
    we cannot fit you in there will be a $75 fee charged for the missed appointment

     

    I UNDERSTAND that redness, sensitivity, peeling, or other reactions may occur from a facial treatment. I further understand that my esthetician is NOT qualified to diagnose, prescribe, or treat any disease or illness and that a facial should not be replaced for medical treatments. I UNDERSTAND that the treatment may involve the risk of complication or injury and I freely assume those risks.
    I UNDERSTAND that facial results are not guaranteed and that for maximum results, more than one treatment may be required. The rate of improvement of my skin depends on my age, skin type, condition, degree of sun/environmental damage, pigmentation levels, or acne condition.  I UNDERSTAND that this intake form will be referenced for all future appointments. It is my responsibility as the client to update this form as needed and to let my esthetician know of any changes that could affect my course of treatment


    BY SIGNING BELOW, I certify that I have read the above information, I fully understand, and give my consent to treatment. The treatments I receive here are voluntary and I release Odyssey Skin Lounge and/or the Esthetician from all liability and assume full responsibility thereof.

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