Please note that waxing can have certain side effects such as skin removal, redness, swelling, tenderness, etc.

I have read the above information and have given an accurate account of the questions and if I have any concerns, I will address these with my Esthetician. I give permission to my Esthetician to perform the waxing procedure we have discussed and will hold her harmless from any liability that may result from this treatment. I agree to adhere to all safety post care including: no peels, tanning, or wet room services; no swimming/spas/hot tubs for 72 hours after waxing; and all home skin care protocols as recommended by my service provider. I understand that my Esthetician will take every precaution to minimize or eliminate negative reactions as much as possible.

A licensed professional has explained to me the process of vajacials.  I understand that the side effects include but are not limited to, color change of the skin, infection, swelling. 

Please read and check the following: 

□         I understand that there is a possibility that this procedure will fail or be unsuccessful or need to be repeated and

          may require additional treatment. 

□        I understand my responsibility for following the appropriate aftercare instructions as explained by the licensed 

          Esthetician. 

□         Since multiple sessions may be required, this consent continues for all subsequent treatments by the licensed 

          Esthetician, regardless of the time between treatments. 

□         I further understand that mild to moderate redness is likely to occur and generally lasts up to 24 hours.  

   BEFORE YOUR TREATMENT 

□ Intimate skin area should be hair free, unless that is part of the vajacial treatment.
□ Accutane users should stop taking their medication for 3 months to a year before waxing. Before making any changes to your prescription medications, talk to your dermatologist. 
□ As women are more sensitive around their menstrual cycle, you may wish to schedule your vajacial appointments around your cycle. 
□ Please discuss if you have a pre-conditioning health condition such as an auto-immune disease.
 

By signing below, I acknowledge that I have read the “Vajacials Con sent Form” and understand it. I have been given the opportunity to ask questions and my questions have been answered to my satisfaction. I have been adequately informed of the risks, benefits and alternatives to this treatment and wish to proceed with the vajacials procedure. Since multiple treatments may be required, this consent continues for all subsequent treatments by the licensed Esthetician, regardless of the time between treatments.