Pinkys Beauty Box Waxing Consent and Release
Statement of consent and release
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Please agree to the terms and conditions
*
I have not used a scrub, Retin-A, Retinol OTC, take home microdermabrasion, glycolic peels, other peels, exfoliated or tanned in the last 72 hours
I have been off of Accutane for at least twelve (12) months.
Some possible side effects include redness, swelling and pimples, but these are temporary and generally fade within 72 hours.
I agree to disclose any allergies that I may have to latex, surgical tapes, Vaseline, etc.
I understand that by waxing, my skin may tear if I am on my menstrual cycle, taking antibiotics, blood thinners, or using topical cream for acne and I have notified the technician of any of the above.
I understand that with treatment certain risks are involved and that any complications or side effects from known or unknown causes could occur. I freely assume these risks.
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 there will be a charge of 50% of my service fee for giving less than 24 hr notice to cancel or reschedule my appointment.
I agree to pay 50% of my service fee if I no-show to my scheduled appointment.
I agree that I read and fully understand this entire consent form.
I agree that by reading and signing this consent form, I will release Pinkys Beauty Box from any claims or damages of any nature.
This agreement will remain in effect for this procedure and all future follow-ups conducted by the certified professional.
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