Glo Ritual Beauty - Client Update Form

Return Client Update Form

Facials & Skin Treatments. NOTE: This form is for return clients only. New clients, please fill out the New Client intake form.
Name*

First NameLast Name
Email*
example@example.com
Address (if you've moved since last visit)
Phone Number*
Format: (000) 000-0000.
Date*

MonthDayYear
Date
Please list any medication, supplement, or herbal remedy updates since last visit:
Do you have any NEW allergies or sensitivities to products, ingredients, or foods?
Any additions to your skincare routine since last visit that I'm not aware of?
Please list any new injuries or surgeries I should be aware of:
Any other updates with your skin or health that I should know about?
Have you had Botox within the last two weeks or filler within the last three months? If so, where on your face?
Cancellation Policy:

Please provide more than 48 hours notice for schedule changes. Appointments canceled or rescheduled with less than 48 hours notice will be charged 50% of the cost of the service. Appointments canceled or rescheduled with fewer than 24 hours notice and no-shows may be charged 100% of the cost of the service. Thank you for understanding this is a small business, and late cancelations can result in lost income. I understand emergencies can happen, so please communicate with me.

*Please do not come to your appointment if you are experiencing any contagious or infectious respiratory, gastrointestinal, or skin symptoms of any kind. If you show up with signs of illness, your session will be canceled and you will be charged full price for the facial (I've never had this happen, but mentioning to be clear).
Late Policy:

Please give me a call or text at 954.778.7772 ASAP if you are running late. If you are more than 15 minutes late, your appointment may be canceled. As a courtesy to my other guests, I am unable to extend service times or issue refunds for late arrivals. While I make every effort to accommodate late arrivals, if you are more than 15 minutes late, your service may have to be rescheduled.

Out of respect for my business and time, if you are repeatedly late, you may no longer be offered services at Glo Ritual Beauty. Thank you for understanding this is a small business.

I have read and agree to Glo Ritual Beauty Policies.
Signature*

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By SUBMITTING THIS FORM, you agree to the following:
1) I give my permission to receive body and facials services.
2) I understand that the esthetician does not diagnose illnesses or injuries, or prescribe medications.
3) I have clearance from my physician to receive facials and body treatments.
4) I understand the risks associated with body treatments and facials include, but are not limited to:
• Superficial bruising or redness
• Short-term muscle soreness
• Exacerbation of undiscovered injury

I, therefore, release Glo Ritual Beauty and the individual esthetician from all liability concerning these injuries that may occur during the session.
5) I understand the importance of informing my therapist of all medical conditions and medications I am taking, and to let my esthetician know about any changes to these. I understand that there may be additional risks based on my physical condition.
6) I understand that it is my responsibility to inform my esthetician of any discomfort I may feel during the session so he/she may adjust accordingly.
7) I understand that I or the esthetician may terminate the session at any time.
8) I have been given a chance to ask questions about the session and my questions have been answered.
Should be Empty:

Return Client Update Form