Dermaplaning Consent Form
with On The Glow Skincare Studio
Date
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2 digit month, 2 digit day, 4 digit year
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Client Name
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First Name
Last Name
I understand that Dermaplaning involves the use of a sterilized surgical blade to remove fine vellus hair from the face, and provide light exfoliation by removing dead skin cells.
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Please Select
Yes
No
I understand that the treatment may involve the risk of complication or injury and I freely assume those risks. Possible side effects of the treatment area can include mild redness, mild irritation, and dryness. Additionally, nicks to the skin can occur due to the sharp surgical blade. The hair that grows back will not be darker or thicker, however I do understand that any hormone imbalance present within my anatomical system can alter the normal hair growth pattern.
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Please Select
Yes
No
I certify that I have read this entire consent form and I understand and agree to the information provided in this form. I certify that I am at least 18 years of age, or I have parental consent co-signed below. I will call to inform my esthetician of any complications or concerns as soon as they occur. I certify that I have read the above consent and I fully understand it and give my consent to the Dermaplaning treatment.
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Please Select
Yes
No
I give On The Glow Skincare Studio consent to take before and after pics of the dermaplaning treatment and possibly post for content later.
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Yes
No
Signature
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Date
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Month
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Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
Should be Empty: