I give consent to the service provider at Healing Elements Day Spa to preform a Chemical Peel service.
I have not received any recent cosmetic surgery's, laser resurfacing, chemical peels or microdermabrasion in the past two weeks.
I have not received any injections, fillers or Botox.
I do not have any allergies to milk, aspirin, sugar cane, willow bark, winter- green and/or sweet birch.
I am not pregnant.
I do not have hyper pigment tendencies.
I do not have inflamed acne, rosacea or infectious diseases.
I do not have any sunburn or irritated skin.
I am not on any photosensitizing medication.
After a chemical peel you may experience some redness, peeling, dryness, sensitivity, hyperpigmentation, irritation and possible breakouts. Make sure to wear SPF for 7-14 days after your chemical peel service. Do not tan, pull on any dead skin, exfoliate, use any benzoyl peroxide, glycolic acid or retinal cream for 24-48 hours after you receive your chemical peel.
If you have any concerns please let the service provider know before you start.