I, First Name* hereby acknowledge and understand that I am receiving medical aesthetic treatment(s) I booked at PHASES Skin Clinic. I hereby give my free, voluntary and informed consent to receive such treatment(s). I understand that there is one-on-one personal contact involved with these treatment(s) and I am not aware of any medical reasons that would preclude me from requesting or undergoing these treatments.Furthermore, I hereby agree to defend, indemnify and save harmless PHASES Skin Clinic and/or its principals, employees or agents from any claims which might arise in relation to any allergic reaction and/or other potential liability which might arise from, or in contact of the treatments received from PHASES Skin Clinic. I accept any such liability as a voluntary assumption of risk and, acknowledge that this is a condition precedent to receiving treatment(s).I consent to photographs/vidoes being taken to evaluate treatment effectiveness. No photographs/videos revealing my identity will be used without my written consent.I consent to email, text or phone communications related to booking appointments, post-procedure care and follow-up appointments. I consent to receive appointment messages via email, phone or text from PHASES Skin Clinic.The procedure, as well as potential benefits and risks have been explained to my satisfaction.I am aware that PHASES Skin Clinic requires a 24 hour cancellation notice or a service fee will be charged. Please note that our clients are considered late 15 minutes after the appointment which will result in your appointment being rescheduled and a cancellation/no-show fee being charged. I am aware that if I have an extenuating circumstance, that I must contact PHASES Skin Clinic directly and have this circumstance approved to bypass the cancellation/no-show fee.