• SKIN AND BEAUTY ESTHETICS

  • CLIENT INTAKE FORM

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  • CURRENT AREA OF CONCERN

  • SPILL THE BEANS

  • PRODUCT HISTORY

  • CURRENT MORNING ROUTINE 

  • Please include the name of all of your products

  • CURRENT EVENING ROUTINE 

  • SKIN HISTORY

  • MEDICAL HISTORY

  • SKIN AND BEAUTY ESTHETICS

  • By signing below you have agreed to the following:

    I have completed this form truthfully and to the best of my knowledge. I agree to inform the skin therapist of any changes in the above information, I agree to waive all liability towards my skin therapist and the employer for any injury or damages incurred due to any misrepresentation of my health history.

    I hereby consent to and authorize Savanah with Skin and Beauty Esthetics to perform skin treatments that I have voluntarily elected to undergo after the explanation, of possible benefits, risks, and complications have been given to me, the client. I also understand that there are no guaranteed results and the independent results are dependent upon personal age, skin condition, lifestyle, and other factors. I understand that I may need more treatments at an additional cost to achieve maximum results.

    I understand that the post-treatment home care instructions have been expressed to me before leaving Skin and Beauty Esthetics during my appointment and that it is my responsibility to carry out said instructions to the best of my ability. In the event that I may have additional questions or concerns regarding my treatment(s) or suggested home product / post- treatment care, I will contact my esthetician immediately.

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  • I grant Skin and Beauty Esthetics permission to take photographs, videos, or other forms of media for use in marketing, advertising, social media, website, newsletters, magazines, recruiting brochures, emails, books, and general publications.

    I hereby waive any right to inspect or approve the finished media that may be used now or in the future. Whether that use is known or unknown to me, I waive any right to royalties or other compensation arriving from or related to the use of said media.

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