This form will provide the necessary information to make an informed decision of whether or not to receive facial services. Please do not hesitate to ask your esthetician any questions.

Please review the following disclosures and sign this document to verify you have received and understand each.

• I understand that I may experience skin sensitivity and/or thinning that may result in skin peeling and dryness.
• I verify that I have informed my esthetician of all previous and current products used, past procedures, and other treatments received.
• I understand that hair removal may cause redness, bumps, soreness, or itching and hereby release my esthetician of liability for any adverse reactions to services received.
• I understand that reactions may occur even if no reactions occurred during or after previous treatments.
• I have been informed that several appointments may be required to achieve and maintain my desired results. I understand that results may vary and that satisfaction is not guaranteed.
• I understand that failing to commit to the recommended skincare regimen can make a noticeable difference in the treatment outcome.

• I verify that I have received sufficient opportunity for discussion to address any concerns and have questions answered. I understand the procedure(s) and accept the risks. I do not hold the esthetician responsible for any health or skin conditions present at the time of service, but not disclosed at the time of treatment which may be affected by any facial services performed.
• I certify that this agreement will remain in effect for this procedure and all future treatments.
• I understand that physical or chemical exfoliating services will result in vulnerable skin due to the removal of superficial layers of the skin.
• I understand that infection is rare, but may occur and is serious.

• I have been informed that it is normal to experience discomfort, skin irritation, redness, sensitivity, and dryness immediately after treatment, and freely accept those risks.

• I understand that I may have an allergic reaction to products, tools, or materials used. 

 

I CERTIFY THAT I HAVE READ AND UNDERSTOOD THE STATEMENTS ABOVE.