Service Consent Form: Waxing

Please fill out the following form.

10. (Female Clients) Always allow 5 days for the menstrual cycle. Due to water retention and your comfort, please avoid hair removal 2 days before and after your cycle

11. Please note that if you get regular waxing services (i.e. every 2 weeks), you will fill this form only ONCE, however, if you have any chances in medication or skin care, please inform us so we can perform your service accordingly.

Please note that waxing does have certain side effects such as skin removal, redness, swelling, tenderness, and itchiness that we cannot control.

I have read the above information and if I have any concerns, I will address it with my skin therapist. I permit my therapist to perform the waxing procedure we have discussed and will hold her and her staff harmless from any liability that may result from this treatment. I have given an accurate account of the questions asked above including all known allergies or prescription drugs to products I am currently ingesting or using topically. I understand my esthetician will take every precaution to minimize or eliminate negative reactions as much as possible.I have read and understood the post-treatment home care instructions. I am willing to follow recommendations made by my esthetician for a home care regimen that can minimize or eliminate possible negative reactions. If I have additional questions or concerns regarding my treatment or suggested home product/post-treatment care, I will consult my esthetician immediately. I agree that this constitutes full disclosure and that it supersedes any previous verbal or written disclosures. I certify that I have read, and fully understand the above paragraphs and that I have had sufficient opportunity for discussion to have any questions answered. I understand the procedure and accept the risks. I do not hold the esthetician responsible for any of my present conditions, but not disclosed at the time of this skin care procedure, which may be affected by the treatment performed today.

Please show your filled form to the service provider, without their acknowledgement, this form cannot be submitted, and we will not start the service until the form is submitted