Lash, Brow, Face & Body Waxing Services Consent Waiver

Brow Tint and Lamination

The nature of the Brow Tint and/or Lamination treatment has been explained to me. I understand that just as there may be benefits from the treatment, all treatments involve risk to some degree. While brow tint and/or lamination is not invasive, many people may face a few side effects like swelling, redness, peeling, itching, and bumps, which are all related to skin irritation caused by chemicals found in the solution used to create the tinting and/or laminating effect. These side effects can occur directly below and/or above the eyebrows and may even extend to your eyelids.

If you have sensitive skin, rosacea, eczema, or a history of contact dermatitis, you may want to speak with an aesthetician beforehand to do a spot test to see if you have any reaction. I understand that the following are among the expected side effects of the Brow Tint and/or Lamination treatment:

Redness/Irritation: Tinting and/or Laminating brows could have some inherent risk of irritation to the orbital eye area, including the eye itself, and could result in stinging or burning, blurry vision, and potentially blindness should any of the solutions enter into the eye area.

Skin Irritation: Irritation from solutions being used can include redness, peeling, swelling, bumps, and itching which can occur directly below or above the eyebrows or eyelids.

Over-Processed Eyebrow Hairs: The solutions may damage your eyebrow hair. The tinting and/or lamination procedure involves applying a chemical that breaks down the bonds in your brow hairs. This could cause dry, brittle, frizzy, or broken brow hairs.

Unsatisfactory Results: There's no quick fix for a bad brow lamination. If you don't like the way your brows look after the procedure, you may have to wait a few months for your brows to grow out naturally.

Allergic Reactions: Brow Tinting and/or Lamination can cause an allergic reaction. Eyebrow lamination may cause skin irritation, redness, and even eczema around the eye area due to the chemicals sitting on thin, delicate eyelid skin.

I acknowledge the following has been discussed with me:

• I understand the Risks / Complications / Side effects / Consequences associated with having an eyebrow tint and/or lamination. I further understand that as part of the procedure, eye irritation, eye pain, eye itching, discomfort, and in rare cases, eye infection or blurriness could occur. I agree that if I experience any of these medical conditions with my eyebrows then I will contact my provider and consult a doctor at my own expense.
• I understand that even though my provider laminates and/or tints the eyebrows using the proper technique, the instruments, tapes, cleaners, adhesives, and removers used may irritate my eyes or require a doctor's follow-up care.
• I understand and agree to the care instructions provided by my provider for the use and care of my laminated and/or tinted eyebrows. I realize and accept the consequences of failure to adhere to these instructions may cause the eyebrows to not stay laminated and/or tinted as long as told.
• Financial Responsibilities – This procedure is elective and not medically necessary and therefore, not covered by insurance. Any complications requiring additional medical care and/or treatment or revisionary procedures would be the patient's responsibility also. There are no refunds. 

Aftercare Instructions:

First 24–48 hours:

• Keep brows dry—no water, steam, or sweat.
• Avoid touching, rubbing, or applying makeup to the brow area.
• Do not apply creams, oils, or self-tanners to the area.
• Avoid sunbeds, saunas, and facial treatments.

Ongoing care:

• Use a brow conditioner or nourishing serum to keep brow hairs healthy.
• Brush brows into place daily with a clean spoolie.
• Avoid exfoliating the brow area for at least one week.
• Rebook every 6–8 weeks to maintain results.

Lash Lift and Tint

A lash lift is a semi-permanent treatment that curls your natural lashes using a gentle perming solution and silicone lifting pads, giving your lashes a natural upward shape. A lash tint is applied to darken the lashes using a safe, vegetable-based dye. During the service, your eyes remain closed as the technician carefully applies the products in stages. Results can last 6–8 weeks.

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

Redness/Irritation: Tinting and lifting lashes can pose a risk of irritation to the eye area, including the eye itself. This may result in stinging or burning sensations, watery eyes, blurry vision, and in rare cases, potential damage if the solution enters the eye.

Skin Irritation: The lifting and tinting solutions may cause redness, itching, swelling, peeling, or bumps around the eyelid or lash line, especially on sensitive skin.

Over-Processed Lashes: The chemicals used in the lifting process break down the bonds in the lash hairs to reshape them. Overprocessing or improper application can lead to lashes that are dry, brittle, or break off.

Unsatisfactory Results: Results vary based on natural lash length, density, and health. If the lift or tint does not meet expectations, there is no immediate reversal, and the client may need to wait for the natural lash cycle to grow out.

Allergic Reactions: Lash Lift and Tint services can trigger allergic reactions in some individuals. This may include swelling, itching, rashes, or eczema-like symptoms around the eyes due to sensitivity to the perming or tinting solutions.

I acknowledge the following has been discussed with me:

• I understand the Risks / Complications / Side effects / Consequences associated with having an eyelash lift and/or tint. I further understand that as part of the procedure, eye irritation, eye pain, eye itching, discomfort, and in rare cases, eye infection or blurriness could occur. I agree that if I experience any of these medical conditions with my eyelashes then I will contact my provider and consult a doctor at my own expense.
• I understand that even though my provider lifts and/or tints the eyelashes using the proper technique, the instruments, tapes, cleaners, adhesives, and removers used may irritate my eyes or require a doctor's follow-up care.
• I understand and agree to the care instructions provided by my provider for the use and care of my lifted and/or tinted eyelashes. I realize and accept the consequences of failure to adhere to these instructions may cause the eyelashes to not stay permed and/or tinted as long as told.
• Financial Responsibilities – This procedure is elective and not medically necessary and therefore, not covered by insurance. Any complications requiring additional medical care and/or treatment or revisionary procedures would be the patient's responsibility also. There are no refunds.

Aftercare Instructions:

For the first 24–48 hours:

• Do not get your lashes wet (avoid water, steam, swimming, saunas).
• Avoid eye makeup, mascara, or lash serums.
• Do not rub, touch, or sleep on your lashes.
• Avoid heat, steam, or humidity that could weaken the lift.

Ongoing care:

• Use a lash-conditioning serum or oil-free moisturizer daily to keep lashes hydrated.
• Avoid waterproof mascara and oil-based makeup removers.
• Be gentle when cleansing the eye area.
• Do not use lash curlers.

Eyelash Extenstions

Eyelash extensions are applied by isolating each natural lash and bonding a single synthetic lash (or fan of lashes, depending on the style) with a professional-grade adhesive. The service is done with your eyes closed while lying comfortably. Fill appointments are recommended every 2–3 weeks. Products used are latex-free, formaldehyde-free, and designed specifically for safe use around the eyes.

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

Redness/Irritation: During or after application, clients may experience mild stinging, burning, redness, or watering of the eyes, especially if fumes from the adhesive come into contact with the eyes.

Skin Irritation: The adhesives or gel pads used may cause itching, bumps, redness, or swelling along the lash line or eyelids.

Lash Damage: If extensions are too heavy or improperly cared for, they may put stress on the natural lashes, leading to premature shedding, thinning, or breakage.

Unsatisfactory Results: Lash extensions are customized, but if the appearance does not meet expectations, the lashes will need to be professionally removed or allowed to shed naturally over time.

Allergic Reactions: Adhesive used in lash extensions can cause an allergic reaction. Symptoms may include swelling of the eyelids, itching, irritation, or discomfort that may require removal of the extensions and further medical attention.

I acknowledge the following has been discussed with me:

• I understand the Risks / Complications / Side effects / Consequences associated with having eyelash extensions. I further understand that as part of the procedure, eye irritation, eye pain, eye itching, discomfort, and in rare cases, eye infection or blurriness could occur. I agree that if I experience any of these medical conditions with my eyelashes then I will contact my provider and consult a doctor at my own expense.
• I understand that even though my provider applies eyelash extensions using the proper technique, the instruments, tapes, cleaners, adhesives, and removers used may irritate my eyes or require a doctor's follow-up care.
• I understand and agree to the care instructions provided by my provider for the use and care of my eyelash extensions. I realize and accept the consequences of failure to adhere to these instructions may cause the eyelash extensions to not stay attached as long as told.
• Financial Responsibilities – This procedure is elective and not medically necessary and therefore, not covered by insurance. Any complications requiring additional medical care and/or treatment or revisionary procedures would be the patient's responsibility also. There are no refunds.

Aftercare Instructions:

First 24–48 hours:

• Keep lashes completely dry (no showers, steam, swimming).
• Avoid touching, rubbing, or sleeping on your face.
• Avoid saunas, hot yoga, and extreme heat.

Ongoing care:

• Clean lashes daily with a lash-approved cleanser (avoid oil-based products).
• Brush gently with a clean spoolie to maintain lash direction.
• Avoid mascara (especially waterproof), lash curlers, and oil-based removers.
• Schedule refills every 2–3 weeks to maintain fullness.

Facial Waxing

Facial waxing is a hair removal method that uses a warm soft or hard wax to lift hair directly from the follicle. Common areas treated include the brows, upper lip, chin, cheeks, jawline, nose and sides of the face.

At the beginning of your service, the skin will be cleansed to remove oils, makeup, or debris. A pre-wax solution may be applied to create a clean base. Depending on the area and your skin type, either soft wax (removed with strips) or hard wax (which hardens and is removed without strips) will be used.

Results can last 2–4 weeks depending on individual hair growth cycles.

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

Redness/Irritation: Facial waxing can cause temporary redness, swelling, or sensitivity in the treated area. The skin may appear pink or feel warm for several hours after treatment due to the hair being removed from the root.

Skin Irritation: Waxing may cause bumps, itchiness, minor peeling, or dry patches, particularly in individuals with sensitive skin or when performed near the lip, chin, or brow areas. In some cases, small whiteheads or breakouts may occur post-treatment.

Skin Lifting: If the skin is not properly prepped or is too thin due to exfoliation, medication, or sun exposure, the top layer of skin may lift during waxing. This can result in tenderness, scabbing, or a small superficial wound.

Unsatisfactory Results: Hair regrowth varies by individual and hair type. In some cases, waxing may not remove all hair evenly, especially if hair is too short or resistant. Uneven texture or redness may temporarily affect appearance.

Allergic Reactions: Reactions to the wax or pre-/post-waxing products (such as cleansers or soothing gels) may occur. These reactions can include itching, swelling, rash, or hives in the waxed area. Clients with allergies to resins, fragrances, or essential oils should inform the technician prior to treatment.

I acknowledge the following has been discussed with me:

• I understand the Risks / Complications / Side effects / Consequences associated with receiving face waxing services. I further understand that as part of the procedure, skin redness, irritation, temporary swelling, tenderness, itching, bumps, ingrown hairs, or in rare cases, skin lifting or infection 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 though my provider uses appropriate techniques and high-quality waxing products, irritation or reaction may still result due to skin sensitivity, product ingredients, or pre-existing skin conditions.
• I understand and agree to follow the post-wax care instructions provided by my provider. I acknowledge that failure to follow these recommendations may increase the likelihood of adverse skin reactions, such as breakouts or ingrown hairs.
• Financial Responsibilities – This procedure is elective and not medically necessary and therefore is not covered by insurance. Any complications requiring medical care, treatment, or additional services will be at the client’s expense. There are no refunds.

Aftercare Instructions:

• Avoid touching or applying makeup to the waxed area for at least 12–24 hours
• Do not exfoliate or use active skincare ingredients (AHAs, retinol, salicylic acid) for 48 hours
• Apply a cold compress or soothing aloe-based gel to reduce redness
• Stay out of direct sunlight and avoid heat (hot showers, saunas) for 24–48 hours
• Use mineral-based sunscreen if going outdoors

Body Waxing - Excluding Intimate Areas

Full Leg Wax – This service removes hair from the upper thighs all the way down to the ankles and toes, if needed. The skin is cleansed and a pre-wax solution is applied. Soft wax is commonly used for larger areas like the legs, removed with strips to extract hair from the root. After waxing, a soothing lotion or serum is applied to calm the skin.

Half Leg Wax – You may choose either the upper leg (thigh to knee) or lower leg (knee to ankle). The skin is cleaned and prepped, and soft wax is used for efficient hair removal. Post-wax products are applied to reduce irritation and hydrate the skin.

Full Arm Wax – Hair is removed from the shoulders to the wrists, including the hands and fingers if desired. The skin is cleansed, and soft wax is used to remove hair quickly and effectively. After the wax, a cooling lotion is applied to soothe the skin.

Half Arm Wax – This includes either the upper arm (shoulder to elbow) or lower arm (elbow to wrist). The area is prepped with a cleanser and pre-wax product. Soft wax is typically used, followed by a soothing lotion or serum.

Underarm Wax –Hair is removed from the entire underarm area. The skin is cleaned and prepped before applying hard wax, which is ideal for smaller, sensitive areas. A calming serum is used afterward to reduce redness and help close the pores.

Back Wax – This service removes hair from the entire back, including shoulders if needed. The skin is cleansed and prepared with a pre-wax solution. Soft wax is used for broad coverage, followed by a cooling post-wax treatment.

Chest Wax – Hair is removed from the chest area, typically from collarbone to just below the ribcage, and can include the stomach if requested. The area is cleansed, soft wax is applied and removed with strips, and a calming lotion is applied afterward.

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

Redness/Irritation: Waxing larger body areas may result in temporary redness, sensitivity, or swelling, especially in areas with coarse hair.

Skin Irritation: Clients may experience minor itching, bumps, or dryness in the waxed area during the healing period.

Skin Lifting: Thin or compromised skin may lift with the wax, leading to scabbing or irritation.

Unsatisfactory Results: Some hair may break at the surface or be missed if too short, resulting in a slightly uneven outcome.

Allergic Reactions: Some individuals may react to the wax or post-wax products with redness, hives, or rash.

I acknowledge the following has been discussed with me:

• I understand the Risks / Complications / Side effects / Consequences associated with receiving body waxing services. I further understand that as part of the procedure, skin redness, irritation, temporary swelling, tenderness, itching, bumps, ingrown hairs, or in rare cases, skin lifting or infection 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 though my provider uses appropriate techniques and high-quality waxing products, irritation or reaction may still result due to skin sensitivity, product ingredients, or pre-existing skin conditions.
• I understand and agree to follow the post-wax care instructions provided by my provider. I acknowledge that failure to follow these recommendations may increase the likelihood of adverse skin reactions, such as breakouts or ingrown hairs.
• Financial Responsibilities – This procedure is elective and not medically necessary and therefore is not covered by insurance. Any complications requiring medical care, treatment, or additional services will be at the client’s expense. There are no refunds.

Aftercare Instructions:

For the first 24–48 hours after waxing:

• Avoid heat: No hot baths, saunas, steam rooms, tanning beds, or intense workouts. Heat and sweat can irritate freshly waxed skin.
• No tight clothing: Wear loose, breathable fabrics to reduce friction and allow the skin to breathe.
• Avoid touching the area: Hands can transfer bacteria and cause irritation or breakouts.
• No exfoliation or active skincare: Refrain from using scrubs, AHAs, BHAs, retinol, or scented lotions on waxed areas.
• Avoid swimming: Chlorinated pools, hot tubs, and saltwater can cause stinging and increase irritation.

Ongoing care (starting 2–3 days post-wax):

• Exfoliate regularly: Gently exfoliate the area 2–3 times a week using a mild scrub or exfoliating mitt to prevent ingrown hairs.
• Moisturize daily: Use a fragrance-free, soothing moisturizer to keep skin hydrated and healthy.
• Use ingrown hair serum if needed: If you're prone to bumps or ingrowns, apply a specialized product to calm and clear the skin.
• Avoid shaving between waxes: This disrupts the hair growth cycle and can lead to coarser regrowth.

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.