FULL DISCLOSURE OF MEDICAL & SKIN HISTORY
I confirm that I have fully and accurately disclosed all relevant information, including but not limited to:
Current or recent medications
Accutane (current or within the last 12 months)
Birth control or hormonal treatments
Pregnancy or breastfeeding
Skin conditions (eczema, rosacea, dermatitis, etc.)
Allergies or sensitivities
Recent peels, lasers, microneedling, or cosmetic procedures
I understand that failure to disclose any of the above releases KA Esthetics from responsibility for adverse reactions.