I give my permission to receive facials, skin care treatments or waxing services.
I understand that my esthetician does not diagnose illnesses or injuries, or prescribe medications.
I understand, have read, and completed this form truthfully. I agree that this constitutes full disclosure, and that it supersedes any previous verbal or written disclosures. I understand that my data will be strictly confidential. I understand that withholding information or providing misinformation may result in contraindications and/or irritation from treatments received. I understand that there may be certain risks involved with any treatment and if I am allergic to one or more ingredients in the products used, I may experience allergic reactions.
I also recognize there are no guaranteed results and that independent results are dependent upon age, skin condition and lifestyle and there is the possibility I may require further treatments of the treated areas to obtain the expected results at an additional cost.
I give consent for all future treatments and I am aware that it is my responsibility to inform my esthetician of any changes to my medical history and/or medications at subsequent visits. I acknowledge that my esthetician holds the right to terminate the session at any time.
I understand how important it is to follow all instructions given to me for post-treatment care. In the event that I have additional questions or concerns regarding my treatment or suggested home product/post-treatment care, I will consult my esthetician immediately.
I release my esthetician, Mely Guilaran from any and all liability associated with any injuries and/or current and future conditions resulting from the skincare procedures or products used and assume full responsibility thereof.