Health Waiver
Please read carefully and initial the following:
I understand that Well being services including facials, massage and body treatments given at Well being LLC, are for the sole purpose of skin cleansing, body and mind relaxation and rejuvenation.
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I understand that it is imperative to tell my Esthetician about any oral or topical medication prior facial, waxing, massage, pedicure or body treatments.
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I understand that Well being and staff do not diagnose illness, disease or any other physical or mental disorder. I accept full responsibility for the use of Well being at my own risk, and to not hold Well Being LLC or staff liable for loss, damage or injury.
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I understand that results are personable and not guaranteed.
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I confirm to the best of my knowledge that the answers given on the client consultation form a that I have not withheld any information that may be relevant to my treatment at Well being.
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I understand there are risks associated with skincare treatments. Such as redness, sensitivity, and inflammation. I release Well Being LLC and the individual therapist from all liability these injuries that may occur during the treatment.
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I understand it is my choice to receive massage therapy. I am aware of the benefits and risks and give my consent for massage. I release the Well Being LLC and the individual massage from all liability concerning these injuries that may occur during the massage session,
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I understand that Well being has a strict 24 hr. cancelation policy. In the event of a late cancel show. The fee is $50.00. If we are able to replace appointment with a client on waitlist, we are waive fee.
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*Please note any additional information that may be of importance to your Licensed Esthetician/ Massage Therapist.
Signature
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Name
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First Name
Last Name
Date
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Month
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Day
Year
2 digit month, 2 digit day, 4 digit year
Date
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