• WAX CONSENT FORM

    Any waxing service please fill this out
  • Have you used Accutane in the past 12 months?*
  • Do you use products containing Retinol, Retin-A, Differen, or Renova?*
  • Are you taking any medications that make you photosensitive?*
  • Do you frequently use tanning beds or have used one within 48hrs of your appointment?*
  • Are you currently sunburnt?*
  • Are you diabetic?*
  • Do you currently have or have you had any of the following medical conditions that could compromise your skin and/or the services being offered:*

  • PLEASE READ

    If you are using any of the following, you cannot get waxed today:

    Accutane, Adapalene, Isotretinoin, Retin-A, Renova, Alustra, Avita, Tazarotene, Tretinoin, Avage, or Differin 


    You may experience skin sensitivity/thinning, which can result in skin lifting, from the following: 

    Sunburned skin, Retinol, Certain medical conditions, Pregnancy, Antibiotics, Other medications not listed, Menstruation

  • I understand the risks and dangers of waxing and agree to hold harmless Taylor McKinney of all liability in relation to the service being provided. I agree if I begin use, or are currently using, any of the products listed in the above warning and do not inform Taylor McKinney prior to current or future treatments, I accept full responsibility for any adverse reactions. 

    It is understood that waxing may cause some redness, bumps, soreness and/or itching.

  • Date*
     - -
  • Should be Empty: