I certify that the treatment/procedure is being given upon my request. I understand that the service provider does not diagnose illness, disease, or any physical or mental disorder, nor do they prescribe medical treatment, or pharmaceuticals. I acknowledge that facial services are not a substitute for medical examination or diagnosis, and that it is recommended that I see a primary Health Care provider for that service. I have stated all medical conditions that I am aware of, and will update the service provider of any changes in my health status. I understand that Dolce Vita Aesthetics by law has the right to refuse service on any client at any time, if they feel as though their well-being is compromised. I understand and voluntarily accept the risks associated with the facial and/or any other services, including but not limited to: Microneedling, HydraFacial, Acne facial, Microdermabrasion, Dermaplaning, Fibroblast Plasma. Except where prohibited by law; I acknowledge and voluntarily assume the risk of injury, accident or any side effects which may arise from the Treatment/Procedure performed. I agree Dolce Vita Aesthetics will not be liable for any of the above.
This agreement cannot be amended, except in writing by both parties. By signing this form, I agree to the above terms and release Dolce Vita Aesthetics from any liability