Waxing Consent Form

Please answer the health and skin checker for the safety of the procedure:

	Yes	No	Remarks
Have you done any waxing before?
Are you currently taking any medications?
Have you had any skin thinning treatments before?
Are you Pregnant? (Female)
Do you have sensitive skin?
Do you have skin allergies?
Do you bruise easily?
Are you prone to scarring and hyperpigmentation?

Are you currently using any cosmetic products that may contain the following substance? Kindly check if yes and if no, leave it blank.

Accutane Retin-A or retinoidsRenovaDifferinAHABHAGlycolic Acid
Waiver Consent
I am providing my consent to complete the procedure I am requesting for I am duly aware of the side effects of waxing that may happen to my skin during or after the procedure such as:
skin redness, swelling, skin irritation, bruises, or bumps.

I acknowledge and completed health and skin checker, efficiency, and accuracy.

I hereby affirm that I have read and fully understand the above, am over eighteen years of age and am legally liable for my own decisions/actions.

By signing below, it means that I agreed to the terms indicated in this document.
Customer Signature

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Waiver Consent