By SUBMITTING AND SIGNING THIS FORM, I acknowledge, consent to, and agree to the following:
I give my permission to receive facials, HydraFacials, peels, skin care treatments, eyebrow services, or waxing services. I understand that the esthetician does not diagnose illnesses or injuries, or prescribe medications. I have obtained clearance from my physician to receive facials, skin treatments, and waxing services. I understand the risks associated with facials and waxing, such as superficial bruising, tenderness, or redness. I acknowledge that my skin might experience temporary irritation, tightness, redness, or slight swelling, which usually dissipates within 72 hours depending on skin sensitivity.
I acknowledge that if I am allergic to one or more ingredients in the products used, I may experience allergic reactions. I understand that failing to use minimal sunscreen (SPF45) makes me more susceptible to sunburn, skin damage, and hyperpigmentation. I should avoid excessive sun exposure.
I acknowledge that this treatment is a strictly elective cosmetic procedure, and no medical claims have been expressed or implied.
I acknowledge that I should avoid the use of Retin-A type products, hydroquinone, bleaching products, aggressive exfoliation, extreme sun exposure, and other products containing acids that are not part of the recommended take-home regimen, pending skin sensitivity, for up to one week before and after any of the above-mentioned treatments.
I understand the importance of informing my esthetician about all medical conditions and medications I am taking, and notifying the esthetician of any changes to these. I understand that there may be additional risks based on my physical condition.
I understand that it is my responsibility to inform my esthetician of any discomfort I may feel during the session so that he/she may adjust accordingly. I understand that either I or the esthetician may terminate the session at any time.
I have had the opportunity to ask questions about the session, and my questions have been answered. I consent (to the best of my knowledge) that the answers I have given are correct and that I have not withheld any information that may be relevant to my treatment.
I give consent for all future treatments. Therefore, I release Brazilia Skincare and its staff from all liability associated with any injuries and/or current and future conditions resulting from the skincare treatments, waxing procedures, or products.