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Client Consent
This consent form covers ALL services, including but not limited to: Facials, Advanced Esthetics, Waxing, Body Treatments, Lash/Brow Services. Some questions are repetitive of the Client Intake Form, but it is essential that you fill this out, especially prior to a new service.  This form protects Skin Society Hawaii LLC from any  liability. 
20Questions
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    Select all that apply
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    ,
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    If yes please explain >>>
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    If yes, please explain >>>
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    If yes, please explain >>>
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    Select all that apply.
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  • 15
    If yes, please explain
    • Yes
    • No
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    • Yes
    • No
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    *Please note, if you are receiving an advanced treatment today (like microdermabrasion, dermaplaning, waxing, etc.) you need to stop using these ingredients at least 72 hours prior to your appointment.
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    Also known as Isotretinoin, Zenatane, Absorica, Myorisan, Claravis, and Amnesteem
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  • 19

    I have voluntarily elected to undergo this service.

    Although it is impossible to list every potential risk and complication, I have been informed of the most commonly associated risks and contraindications with this service. I have had the opportunity to ask any questions I may have prior to my service. I, therefore, consent to not hold my esthetician or company liable for any issues, damages, or side effects that may occur.

    I also recognize there are no guaranteed results and that independent results are dependent upon age, skin condition, and lifestyle, and that there is a possibility I may require further services in the treated areas to obtain the expected results, at an additional cost.

    I have read and understood all available pre and post-treatment care instructions, and acknowledge how medically important it is to follow these instructions. In the event that I may have additional questions or concerns regarding my treatment or suggested home product/post-treatment care, I will consult the esthetician immediately.

    To the best of my knowledge, I have also given an accurate account of my medical history, including all known allergies or prescription drugs or products I am currently ingesting or using topically. I assume responsibility, and if I’ve failed to mention anything to my esthetician regarding my medical condition/history - they will not be held liable if any issues, complications, or damages arise. If my medical status changes, I will notify the company prior to my service. 

    I give consent to take photos of me for the purpose of client records, company education, marketing, and advertising. I also understand my personal information (such as name, email, phone number, etc.) will be held on file by the company. I understand the company may contact me through text, email, and social media for the purpose of business, marketing, and advertising. I understand I have the option to opt-out of any advertising and marketing at any time by doing so electively on those channels. 

    If I have any questions, I will reach out to the company as soon as possible. 

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    I have read and fully understand this agreement and all information detailed above.
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