Facial Consent Form
  • Facial Questionnaire & Consent

    Please fill out completely prior to your first facial appointment.




  • Your Medical History



  • Females Clients

  • Acknowledgement and Waiver I hereby agree to have this treatment. I am aware that products used in facials and homecare recommendations are organic and contain botanically derived ingredients. Some may contain tree nuts, sulfur, dairy, and gluten. I acknowledge that the esthetician at High Vibes may use products that contain these ingredients or are manufactured in a plant with these ingredients. I am aware that even with natural ingredients there is a remote chance of an allergic reaction and there is a possibility of an adverse reaction to product used in facials. Please inform your esthetican before treatment if severly allergic, as this may make you unable to receive the service.  I am also aware that certain services should not be performed with certain medical conditions or prescriptions. I have disclosed all my known medical conditions, skin conditions, allergies, medications and answered all questions honestly on the above form and agree to update High Vibes as to any changes. It is my responsibiliy to disclose all medical, medicinal, and skin history, as High Vibes will not be responsible to reactions caused by undisclosed medical history. I acknowledge the estheticians at High Vibes do not provide medical advice and I accept full responsibility to seek out advice before receiving any services or products from High Vibes. I hereby release, discharge and waive all claims against High Vibes and each of their employees, and representatives or any person(s) performing services or applying any products at High Vibes, including from liability and responsibility for any and all illness, injuries, damages, claims, rights and causes of action of any kind or nature, that may occur during or arising out of any services or products received on this and any future dates. I expressly assume and accept the risk for any possible injuries sustained. I have read this entire document and agree to its terms.

  • Peach Fuzz Removal Consent

  • Photo & Video Consent & Release

  • Should be Empty: