• Waxing

    Consultation Form
  • Date of Birth*
     - -
  • Format: (000) 000-0000.

  • Waxing Medical History

  • Have you ever had Waxing done before?*
  • Do you have any skin conditions?*

  • Additional Questions

  • Do you use tanning beds and/or are exposed to the sun on a regular basis*
  • Is there a certain style of wax you prefer?

  • Female Clients

  • Are you pregnant or breast-feeding?

  • PLEASE NOTE: if you are pregnant/breast-feeding your skin may be more susceptible to bruising, skin lifting, and irritation. This is because of the amount of blood flow to the area.

  • Are you currently mensurating?

  • PLEASE NOTE: Zoe Broomfield will prefrom intimate wax during menstration, but request you come in with new clean tampon. If you are mensurating, your skin may be more susceptible to bruising, skin lifting, and irritation. This is because of the amount of blood flow to the area.

  • Waxing

    Consent Form

  • Preparing for your wax

  • WEAR LOOSE CLOTHING

    TIGHT OR LACEY UNDERWEAR CAN IRRITATE FRESHLY WAXED SKIN. IT IS SUGGESTED TO WEAR FLOWY BOTTOMS OR A DRESS TO APPOINTMENTS. TIGHT CLOTHING CAN LEAD TO HYPERPIGMENTATION, IN-GROWNS AND IRRITATION TO THE ITIMATE AREA.

    EXFOLIATE

    USE A DRY BRUSH, P-H BALANCED SCRUB, OR CHEMICAL EXFOLIANT 2-3 DAYS BEFORE YOUR APPOINTMENT. THIS WILL HELP RELEASE INGROWNS AND REMOVE DEAD SKIN. DO NOT EXFOLIATE THE DAY OF YOUR APPOINTMENT.

    AVOID EXCESSIVE HEAT

    AVOID SUN EXPOSURE FOR AT LEAST 24 HOURS PRIOR TO YOUR APPOINTMENT. AVOID HOT SHOWERS AND WORKING OUT IMMEDIATELY BEFORE YOUR APPOINTMENT.

    TRIM, BUT DON'T SHAVE

    PLEASE ENSURE AT LEAST 1/4 INCH OF HAIR GROWTH FOR EFFECTIVE WAXING. TRIM EXTRA-LONG HAIR FOR A MORE COMFORTABLE EXPERIENCE.

     

     

  • After-Care

  • I agree to adhere to all safety post care including (24-72 hours):

    • No chemical/mechanical exfoliants
    • No tanning or excessive sun-exposure
    • No intercourse (intimate waxing)
    • No tight clothing
    • No excessive sweating
    • No swimming/spas/hot tubs

  • I have read the above information. If I have concerns, I will address them with my esthetician, Zoe Broomfield.

    I give permission to Zoe Broomfield to perform the waxing procedure we have discussed, and will hold her and AmourforBeauty, LLC harmless from any liability that may result from this treatment.

    I have accurately answered the questions above, including all known allergies, prescription drugs, or products I am currently ingesting or using topically.

    I understand that my esthetician will take every precaution to minimize or eliminate negative reactions as much as possible.

    In the event I may have additional questions or concerns regarding my treatment, I will consult the esthetician immediately.

    I agree that this constitutes full disclosure, and that it supersedes any previous verbal or written disclosures.

    I certify that I have read, and fully understand, the above paragraphs and that I have had sufficient opportunity for discussion to have any questions answered.

    I understand the procedure and accept the risks.

    I do not hold the esthetician, Zoe Broomfield, responsible for any of my conditions that were present, but not disclosed at the time of the skin care procedure, which may be affected by the treatment performed today.

  • Date*
     - -
  • Should be Empty: