• {date}

  • SkinPro Studio
    1942 Sam Rittenburg Blvd Suite D
    Charleston, SC 29407
    (843) 990-9386

    Skincare Consent with COVID Consent Form


    I understand treatments can include microdermabrasion, chemical exfoliants, use of
    energy treatments such as micro-current and LED, and radio frequency. This is not a medical procedure and elective with no guarantee of results. I understand there could be redness, dryness, peeling of my skin, and there is a risk for hyper pigmentation (dark areas) during the treatment process that may remain. I agree to notify the office immediately with concerns. I understand I may be asked to return to the office for additional treatment. I give my consent for photographs to be taken. I understand unidentifiable portions of these photos may be published.

    COVID consent:
    I understand that skincare treatments involve maintained touch and close physical
    proximity over an extended period of time, there may be an elevated risk of disease
    transmission, including COVID-19 even with enhanced sanitation methods in place.

    By signing this form, I acknowledge that I am aware of the risks involved and give
    consent to receive treatments from therapists and employees at SkinPro Studio. My
    consent is ongoing for as long as I seek services unless I withdraw this consent in
    writing. I authorize treatment until I notify SkinPro Studio in writing to revoke this
    authorization.


    IN WITNESS WHEREOF, the parties hereto have executed this Agreement as of the
    day and year first above written.

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