Please note that waxing does have certain side effects such as skin removal, redness, swelling, tenderness, etc. I confirm I have read the above information and if I have any concerns, I will address these with Allison Erwin . I give permission to my service provider to perform the waxing procedure we have discussed and will hold her harmless from any liability that may result from this treatment. I have given an accurate account of the questions asked above including all known allergies or prescription drugs or products I am currently ingesting or using topically. I understand that Allison Erwin will take every precaution to minimize or eliminate negative reactions as much as possible. I understand that I should keep the treated area free of products for 24 hours post-treatment. I am willing to follow recommendations made by Allison Erwin for a home care regimen that can minimize or eliminate possible negative reactions. 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 my therapist immediately. I agree that this constitutes full disclosure, and that it supersedes any previous verbal or written disclosures. I certify that I have read, and fully understand the above paragraphs and that I have had sufficient opportunity for discussion to have any questions answered. I understand the procedure and accept the risks. I do not hold Allison Erwin responsible for any of my conditions that were present, but not disclosed at the time of this skin care procedure, which may be affected by the treatment performed today.