Waxing Intake/Consent Form

Waxing Intake/Consent Form

Please fill out this form before your appointment. Thank you!
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How did you hear about Freshfacedayspa?
Is this your first time waxing?
Do you have any allergies?
If 'Yes', please list.
Medical History: Check all that apply.
Have you used and AHAs (alpha hydroxy acid), BHAs (Beta hydroxy acid), or Glycolic acid products in the past 24-48 hours?
Have you had any recent treatments (Chemical peels, lasers, microdermabrasion, etc)
If 'Yes', please specify which treatment: l
Are you currently using or have you used any of the following?
Are you using any skin lightening products and or medications that thin the blood/skin?
By signing below, I acknowledge that I have read and understand this intake/consent form. I consent to the application and removal of wax during the service and agree to comply with the aftercare instructions provided. I understand the potential risks and will notify the technician of any changes to my health, skin, or eyes in the future.
Should be Empty: