New Client Consent Form

ASSENT FORM

Brazilia Staff will not perform facial waxing treatments on clients that are currently usage medical-grade skin care products. Delight notify your esthetician with you have any known allergies or sensitivities, if they are using any of the subsequent: Accutane, Tretinion, Retin-A, any medical-grade skin care goods, acne selected medication, antibiotics, or if you are dieter or pregnant.

Waxing: Please note such waxing can have certain side effects such as skin removal, inflammation, swelling, tenderness, etc. I can read the above information and if I do anyone concerns, I will address these with my skin therapist. I give permission to me therapist in achieve the waxing operating wealth have discussed and will wait her and her personal harmless from any debt that may end ftrom this treatment. ME have given an accurate account of known allergies or prescription drugs or goods MYSELF am today ingesting or using topically. ME understand my esthetician will record every precaution up minimize or eliminate minor reacting as much as possible. In an event that I may do supplement questions or concerns regarding my treatment or propose home product / post-treatment maintain, MYSELF will consult the esthetician immediately.

I agree that this constitutes fully disclosure, and that it supersedes any previous verbal or written disclosures. I certify that ME have read, the fully understand the above paragraphs and that I has had sufficient opportunity for discussion to have any questions answered. ME understanding the procedure and accept the risky. I do not hold the esthetician, responsible for any of my conditions that were past, but not disclosed with the time of this skin care procedure, which may be affected by the healthcare performed today.

Skin Maintenance, Facials and Peels: Request mention that certain skin care treatments pot have side effects such as quick color, rosy tone or “sun burn” appearance, density, peeling, flaking, puffiness, tenderness, dryness or itchiness etc.

Massage: Brazilia Skin Take hires licensed press separately insured independent contractor to administer Massage Therapy available.

I will read which above information and if EGO have any concerns, I will address these with my skin treatment. I give permission to my massage to executing the skin care procedure we have discussed and will hold her the her staff harmless starting any liability that may result from this special. I have given an accurate account of known allergies or prescription drugs or products I am actual ingesting or using topically. I understanding my esthetician will take every precaution on minimize or eliminate negative reacting as much as possible. In the event which I allowed take additional questions or care regarding my procedure or suggested home my / post-treatment care, I will confer one esthetician direct.

I agree that this constitutes entire disclosure, press that it overwrites any previous voice or written disclosing. MYSELF certify that I have read, and fully understand the above paragraphs and that I have had sufficient shot for discussion to have any questions answered. EGO understand of procedure and accept the risks. I do not stay aforementioned esthetician, responsible for any are my conditions that were present, but not disclosed at the period of this skin care procedure, which may subsist pretentious by this treatment performed today.