Sugaring Intake Form
  • Sugaring Intake Form

  • Client Informatiom

  • How did you find us?
  • Are you using Retin-a, Renova or Accutane (an oral form of Retin-a)?
  • Have you used any Alpha Hydroxy Acid (AHA) or Glycolic products in the past 48-72 hours?
  • Have you ever had any adverse reaction to any skin care products?
  • Do you have any known allergies?

  • I give permission to my therapist to perform the sugaring procedure we have discussed and will hold her and her staff harmless from any liability that may result from this treatment. I have given an accurate account of the questions asked above including all known allergies or prescription drugs or products I am currently ingesting or using topically. I understand my esthetician will take every precaution to minimize or eliminate negative reactions as much as possible. I understand the procedure and accept the risks. PLEASE BE ADVISED THAT: Your Esthetician or Tamara's Professional Body Sugaring is not responsible for reactions caused by other products used by the client and for the reactions caused as a result of the information above not being correct.

     

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