By SUBMITTING THIS FORM, you agree to the following:
1) I give my permission to receive facial treatments (including but not limited to LED treatment, high frequency, dermaplaning, facial massage, and/or waxing services.)
2) I understand that therapeutic massage is not a substitute for traditional medical treatment or medications.
3) I understand that the esthetician does not diagnose illnesses or injuries,
or prescribe medications.
4) I have clearance from my physician to receive facials.
5) I understand the risks associated with massage therapy, facials, dermaplaning and waxing include, but are not limited to:
• Superficial bruising or redness
• Short-term muscle soreness
• Exacerbation of undiscovered injury
I, therefore, release Fresh Complexions llc and Rita Krause from all liability concerning any injuries that may occur during the treatment session.
6) I understand the importance of informing my aesthetician of all medical
conditions and medications I am taking, and to let them know about any changes to these. I understand that there may be additional risks based on my physical condition.
7) I understand that it is my responsibility to inform my aesthetician of any
discomfort I may feel during the session so he/she may adjust accordingly.
8) I understand that I or the aesthetician may terminate the session at any time.
9) I have been given a chance to ask questions about the session and my questions have been answered.