Wax Consent Form

Wax Consent Form

Please review and confirm your consent for waxing services.
Full Name

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

Other
If other, please explain:
Health & Skin History
Please check any that apply:
Are you currently using or have recently used any of the folowing?
If Yes, Explain:
Any allergies or medical conditions we should know about?
Have you had any recent skin treatments (e.g., chemical peels, laser treatments) in the area to be waxed?
Pre-Wax Acknowledgment
I understand Waxing may cause temporary redness, irritation, sensitivity, ingrown hairs, brusing, tenderness, or minor skin lifting.
I understand hair should ideally be atleast 2-3 weeks of growth (about grain-of-rice length) for best results.
I understand being on my menstrual cycle may increase sensitivity.
I confirm I have disclosed all medications, skin treatments, allergies, and medical conditions that may affect waxing.
I understand results vary based on hair growth, skin sensitivity, medications, hormones, and aftercare.
I consent to photographs for documentation purposes if necessary
Date

MonthDayYear
Date
Should be Empty:

Health & Skin History