Jet Plasma 818-454-4517

Name*

First NameLast Name

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Email*

example@example.com

Address

Street Address

Street Address Line 2

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Postal / Zip Code

FEMALE ONLY: Are you pregnant or nursing?*

YesNo

Do you have any skin conditions you'd like to address?*

YesNo

Skin conditions (e.g. Rashes, eczema, infection, psoriasis, freckles, etc.)

If yes, please identify the condition.

Please tell about your medical history if any (e.g. DIabetes, Cardiovascular Disease, Epilepsy, Blood-related disease etc.)

I understand that this procedure is a permanent change to my skin and body.

I allow my procedure to be photographed and be used for our portfolio showcased.

I acknowledge that the SDS does not offer refund.

I agree that the studio does not have a way of identifying if I am allergic to the elements or ingredients that will be used for my procedure.

I understand that I need to take care of my skin by following the instructions given to me at the Jet Plasma location.

I understand that I might get an infection if I don't follow the instructions given to me in regards of taking care of my skin.

I indemnify and hold harmless SDS against any claims, expenses, damages, and liabilities.

I confirm that the information I provided in this document is accurate and true.

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Date

Client Signature

Appointment*

Jet Plasma*

One Jet Plasma SessionOne Session 1 HourPrice includes Face/Neck/Chest:Lift and tighten your skin with jet cold plasma!Introducing our new service!JET PLASMA!Non invasive, ZERO PAINNo Numbing Required with this Pain Free Treatment!HOW IT HEALS:No Recovery time is required after this Treatment.No dots, scabs or downtime. Can be performed every 48hours. 3-8 treatments are recommended to start!Jet plasma burst 13,000 volts of plasma into the treated area without pain or swelling, by doing so, it stimulates collagen production and makes you look and feel young again! Results will last 2-4 years!

$350.00

Two Jet Plasma SessionsTwo Sessions 1hr EachPrice includes Face/Neck/Chest:Lift and tighten your skin with jet cold plasma!Introducing our new service!JET PLASMA!Non invasive, ZERO PAINNo Numbing Required with this Pain Free Treatment!HOW IT HEALS:No Recovery time is required after this Treatment.No dots, scabs or downtime. Can be performed every 48hours. 3-8 treatments are recommended to start!Jet plasma burst 13,000 volts of plasma into the treated area without pain or swelling, by doing so, it stimulates collagen production and makes you look and feel young again! Results will last 2-4 years!

$650.00

Four Jet Plasma SessionsFour Sessions 1hr Each Price includes Face/Neck/Chest: Lift and tighten your skin with jet cold plasma! Introducing our new service! JET PLASMA! Non invasive, ZERO PAIN No Numbing Required with this Pain Free Treatment! HOW IT HEALS: No Recovery time is required after this Treatment. No dots, scabs or downtime. Can be performed every 48hours. 3-8 treatments are recommended to start! Jet plasma burst 13,000 volts of plasma into the treated area without pain or swelling, by doing so, it stimulates collagen production and makes you look and feel young again! Results will last 2-4 years!

$1,200.00

Six Jet Plasma SessionsSix Sessions 1hr Each Price includes Face/Neck/Chest: Lift and tighten your skin with jet cold plasma! Introducing our new service! JET PLASMA! Non invasive, ZERO PAIN No Numbing Required with this Pain Free Treatment! HOW IT HEALS: No Recovery time is required after this Treatment. No dots, scabs or downtime. Can be performed every 48hours. 3-8 treatments are recommended to start! Jet plasma burst 13,000 volts of plasma into the treated area without pain or swelling, by doing so, it stimulates collagen production and makes you look and feel young again! Results will last 2-4 years!

$1,650.00

Eight Jet Plasma SessionsEight Sessions 1hr Each Price includes Face/Neck/Chest: Lift and tighten your skin with jet cold plasma! Introducing our new service! JET PLASMA! Non invasive, ZERO PAIN No Numbing Required with this Pain Free Treatment! HOW IT HEALS: No Recovery time is required after this Treatment. No dots, scabs or downtime. Can be performed every 48hours. 3-8 treatments are recommended to start! Jet plasma burst 13,000 volts of plasma into the treated area without pain or swelling, by doing so, it stimulates collagen production and makes you look and feel young again! Results will last 2-4 years!

$2,000.00

Total

$0.00

Credit Card

Jet Plasma 818-454-4517

Client Information

Pre-Procedure Questionnaire

Acknowledgment and Waiver

Credit Card