I understand, have read, and completed this questionnaire truthfully. I agree that this constitutes full disclosure and that it supersedes any previous verbal or written disclosures. I understand that withholding information or providing misinformation may result in contraindications and/or irritation to the skin from treatments received. I am aware that it is my responsibility to inform the esthetician/skincare therapist of my current medical or health conditions and update this history. The treatments I receive here are voluntary, and I release this institution and/or skincare professional from liability and assume full responsibility thereof.