Your ESTHETICIAN will recommend the appropriate schedule for future facial treatments or physician referral in order to achieve your skin improvement goals.

INFORMED CONSENT RELEASE

I do fully understand all the questions above and have answered them all correctly and honestly. I understand that the services offered are not a substitute for medical care.I understand that the skin care professional will completely inform me of what to expect in the course of treatment and will recommend adjustments to my regimen if deemed necessary. I also am aware that individual results are dependent upon my age, skin condition, and lifestyle. I agree to actively participate in following appointment schedules and home care procedures to the best of my ability, SO that I may obtain maximum effectiveness. In the event that I may have additional questions or concerns regarding my treatment or suggested home product routine, I will inform my skin care professional immediately.

I release and hold harmless the skin care professional Donna Kay, dkpESTHETICS, and the staff harmless from any liability for adverse reactions that may result from this treatment.

1. We require 24-hours notice for cancellations. Please remember the $50 charge for our NO SHOW POLICY. 2. If you are not satisfied with your service or products, please contact your skin care professional within 24- hours after your appointment SO that the situation may be corrected. It is our policy to provide you with the best professional service and products customized for your skin condition.

I have read and understood all of the foregoing information.