• Skin Deep Day Spa, LLC

    1212 Wildwood, Suite  A & B, Jackson, MI  49202

    517.990.9088   -   skindeepspajackson.com

  • DERMAPLANE TREATMENT FORM

  • Please complete this form thoroughly and answer the questions honestly.

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  • By selecting YES to any or each of the below questions &/or statements I am indicating that I fully understand the question &/or statement and I agree with an affirming YES to it’s accuracy as it pertains to me &/or my treatment.

     

  • In signing this form, I acknowledge and testify as the following.

    All information I have given both written &/or verbally, is true to the best of my knowledge and it is my sole responsibility to inform &/or update Skin Deep Day Spa, LLC as to any changes in my health status &/or treatments rendered or to COVID-19. I further hereby knowingly consent to receive treatment from Skin Deep Day Spa, LLC. 

    I understand the follwing cancellation policy:I understand the following cancellation policy: Cancellation of appointments with less than a 24-hour notice are charged a cancellation fee of 50% of the missed service. Spa Packages and Spa Parties will need to give a 48 hour notice. The credit card on file is charged a fee of 100% of the missed service and will be required to place a nonrefundable deposit to schedule future appointments. Two no shows in a 12 month period will result in termination of our practice. 

    Note: All prices are subject to change without prior notice. Skin Deep Day Spa LLC.

    By signing this form, I hereby release, hold harmless, waive, discharge, and covenant not to sue Skin Deep Day Spa, LLC, its directors, officers, employees, volunteers, and agents with respect to any liability for any injury, loss, and/or damage (including, but not limited to, illness or death) that I may sustain related to services &/or treatments rendered. I further hereby knowingly consent to receive treatment from Skin Deep Day Spa, LLC

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  • PHOTO RELEASE FORM

  • I,       authorize Skin Deep Day Spa to take photographs of my face/treatment area. With the sole intent of encouragement to others that may be considering the same or similar procedure, your photos may be considered of such a good quality that we may choose them for the spa photo album, or social media advertisement to educate future clients, such as Instagram and/or Facebook. At no time will any personal information or name be given. These photographs may be used for client referrals and/or educational purposes. field.

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