Intimate Waxing Services Consent Waiver

Bikini Wax – A bikini wax removes hair along the sides of the bikini line, typically anything that would show outside a standard swimsuit bottom. The skin is first cleansed, and a pre-wax solution is applied. Hard wax or soft wax may be used depending on your skin type. The wax is applied in small sections and removed quickly to extract hair from the root. A calming post-wax treatment is applied to reduce any redness or irritation.

Bikini French Wax – A Bikini French wax removes more than a traditional bikini wax but less than a Brazilian. Hair is removed along the bikini line and further inward, leaving a thin strip or triangle in the front. It does not include removal between the cheeks. The skin is cleansed and prepped before waxing, and hard wax is typically used for more sensitive areas. Post-wax soothing gel or serum is applied to calm the skin.

Brazilian Wax – A Brazilian wax removes all hair from the front to the back, including the bikini line, labia area, and between the cheeks, with the option to leave a strip or triangle in front. The area is gently cleansed, and a pre-wax oil or solution is applied to protect the skin. Hard wax is commonly used due to its gentler effect on sensitive areas. After waxing, a calming post-wax serum is applied to minimize irritation.

Signature Brazilian – A Signature Brazilian (vaginal facial) is performed after a Brazilian wax and is designed to care for the skin in the intimate area. The treatment includes a cleanse, gentle exfoliation, possible extractions of ingrown hairs, a soothing mask, and hydration. Products used are chosen for their calming, anti-inflammatory, and non-comedogenic properties, safe for delicate skin. This service supports healthy skin texture and can help reduce ingrown hairs, hyperpigmentation, and irritation.

I understand that the following are among the expected side effects of this treatment:

• Redness/Irritation: Due to the sensitivity of the area, temporary redness, swelling, or discomfort is common following the service.
• Skin Irritation: Itching, small bumps, or follicle inflammation may occur as part of the natural healing process.
• Skin Lifting: If the skin has been exfoliated recently or is especially delicate, wax may remove a layer of skin, causing sensitivity or scabbing.
• Unsatisfactory Results: Hair growing in different directions or phases may not all be removed, and some stubble may remain.
• Post-Extraction Sensitivity: Areas where ingrown hairs were extracted may feel tender or appear slightly swollen for 24–48 hours.
• Allergic Reactions: Rare allergic responses to the wax or aftercare products may include redness, itching, or rashes near the waxed area.

 
I acknowledge the following has been discussed with me:

• I understand the Risks / Complications / Side effects / Consequences associated with receiving a Bikini, Bikini French, and Brazilian vacial (vaginal facial). I understand that this is a skin care service performed in the bikini or Brazilian area following a waxing procedure, and may involve extractions, exfoliation, enzyme or clay masks, and soothing or hydrating products.
• I understand that temporary redness, skin sensitivity, tightness, dryness, or tenderness may occur, especially after extractions or exfoliating treatments. In rare cases, skin irritation, post-inflammatory hyperpigmentation, or allergic reaction to products may occur.
• I agree that if I experience any of these medical conditions following my treatment, I will contact my provider and consult a doctor at my own expense.
• I understand that even with the use of professional products and techniques, individual skin responses may vary. I have disclosed all relevant allergies and sensitivities to my provider. I agree to follow all aftercare instructions given to minimize the risk of irritation or complications.
• Financial Responsibilities – This procedure is elective and not medically necessary and is therefore not covered by insurance. Any complications requiring medical treatment or additional services are the client’s responsibility. There are no refunds.

 Aftercare Instructions:

• Avoid tight clothing, hot showers, intimacy, workouts, and steam/sauna for 24–48 hours
• Keep the area clean and dry; avoid touching with unwashed hands
• Do not apply scented products or exfoliate the area for at least 48 hours
• Begin gentle exfoliation and moisturizing after 2–3 days to prevent ingrown hairs
• Use an ingrown hair serum if prone to irritation or bumps

Disclosure

Beauty treatments, the practice of skin care, and the practice of massage, including, but not limited to, waxing, facial toning/massage, body scrubs, body massage techniques and treatments, reflexology, dermaplaning, LED light therapy, brow lamination, brow tinting, lash lifts, lash tinting, lash extensions, and various other beauty procedures is not an exact science and no specific guaranties can or have been made concerning the outcome. I understand that some clients experience more change and improvement than others. In virtually all cases, multiple treatments are required in order to realize a difference. Subsequent visits are subject to additional charges per visit which depend on the amount of work needed. Actual results vary from person to person and The Gestalt House LLC (Inspired Offerings Spa Powered by The Gestalt House LLC) does not guarantee any specific result.

 
All charges/payments are processed through The Gestalt House LLC.

Release

I recognize that there are certain inherent risks associated with the esthetic and massage treatments, and I assume full responsibility for personal injury to myself. In exchange for such treatments, I hereby fully release and forever discharge The Gestalt House, LLC (including its officers, members, owners, employees and agents) from any and all damages, costs, expenses, liabilities, causes of action, claims and demands, of whatever character, in law or in equity, whether known or unknown, direct or indirect, asserted or unasserted, and whether or not on account of myself, The Gestalt House, LLC or other third parties, or in any way arising out of the above described treatment I have requested The Gestalt House, LLC perform. It is the intention of the parties that this agreement binds all parties whose claims may arise out of or relate to the treatment, or services provided by The Gestalt House, LLC including any spouse or heirs of the client/patient and any children, whether born or unborn. Any legal or equitable claim that may arise from participation in the treatment shall be resolved under Missouri law. I agree to indemnify, hold harmless and defend The Gestalt House, LLC (including its officers, members, owners, employees and agents) against all third-party claims, causes of action, damages, judgments, costs or expenses, including attorneys’ fees and other litigation costs, which may in any way arise from the above-described treatment I have requested The Gestalt House, LLC perform.

I understand this completed and signed consent for cover and apply to all present and future treatments herein mentioned.

Arbitration

It is understood that any dispute arising as to malpractice of treatment shall be decided by a neutral arbitrator. Any arbitration proceeding will be governed by Missouri’s arbitration statute, the fees for the arbitrator will be split pro-rata among the parties and each party will be responsible for their own attorneys’ fees and costs. Any action to collect fees from the client/patient for the treatments performed may be brought in any court located in Greene County, Missouri and the prevailing party in such collection action shall be entitled to recover its reasonable attorneys’ fees and costs. Filing of any action in any court to collect any fee from the client/patient shall not waive the right to compel arbitration of any malpractice claim.

 By signing this agreement, I confirm that I am over the age of 18. I certify that I have read the above paragraphs; fully understand this consent and treatment form and herby consent to the indicated treatment(s). This means that I accept full responsibility for these and/or any other complications which may arise or result during or following the esthetic and massage treatments which is to be performed at my request according to this agreement and I hereby agree to arbitration of any malpractice claim. I further understand that by signing this agreement, I surrender certain legal rights. 

Electronic Signature and Consent

I agree and understand that by signing this Consent Form, that all electronic signatures are the legal equivalent of my manual/handwritten signature, and I consent to be legally bound to this agreement.