• Self Care Club: Facials

  • Welcome to Self Care Club, the home of soul-soothing skin rituals, slow-touch calm first beauty. A nurturing space to be held with presence over pressure, where you feel restored with deep care, not urgency.

    Your session will take place at suite 119, Image Studios, 1711 Spring Green Blvd, Katy, 77494. I can't wait to meet you.

    Lisa

  • Personal information

  • Format: (000) 000-0000.
  •  - -
  • Format: (000) 000-0000.
  • General information

  • Explanation of treatment

  • Through mindful touch + intentional skincare, skin is cleansed, hydrated + reawakened, leaving you feeling restored.

    Perfect for your first visit, a gentle maintenance ritual, or relaxing pause between the more advanced treatments.

    Suited to all skin types for general overall skin health.

    Some facial treatments may include lymphatic drainage massage + the use of LED light therapy.

  • Contraindications of treatment

  • These treatments may not be safe under certain medical conditions.

    Please disclose if any of the following applies:
    -pregnant or breastfeeding (must be over 12-weeks gestation with Doctor's approval)
    -skin infection or contagious diseases including active cold sore
    -aspirin allergy (salicylic acid)
    -lupus (LED)
    -photosensitve disorder or photosensitivity that requires medication (LED)
    -light induced headaches (LED)
    -geneticeye conditions (LED)
    -metal pins, dental fillings + plates (microcurent)
    -epilepsy (microcurrent)
    -recent stroke (microcurrent)
    -thyroid problems (microcurrent)
    -heart surgery within the last 6-months (microcurrent)
    -hypersensitivity (chronic fatigue) (microcurrent)

  • Allergies

  • Use of photography and videography

  • Photos and videos may be taken of the treatment area just prior and just post of your treatment. These are for insurance purposes and also help to track treatment progress. There may however be times when I ask your permission to post certain images or videos online on social media platforms.

  • Declaration of consent and assumption of risk

  • As is the case with any activity, the risk of injury, is always present and cannot be entirely eliminated. My signature acknowledges I understand I will progress at my own pace and listen to my body. I affirm that I alone am responsible to decide whether to participate. By accepting this waiver, I acknowledge that participation exposes me to a possible risk of personal injury. I am fully aware of this risk. I hereby consent to receive medical treatment that may be deemed advisable in the event of injury, accident and/or illness. I hereby take action for myself, my executors, administrators, heirs, next of kin, successors and assigns as follows: I (a) irrevocably WAIVE, RELEASE AND DISCHARGE FROM ANY AND ALL LIABILITY for my death, disability, personal injury, property damage, property theft or actions of any kind which hereafter may occur to me, including my travel to and from, the Practitioner and each of their directors, officers, employees, volunteers, representatives and agents; and (b) INDEMNIFY, HOLD HARMLESS AND AGREE NOT TO SUE the entities or persons mentioned in this paragraph as to any and all liabilities or claims made as a result of participation, whether caused by the negligence of releasees or otherwise. My acceptance of this agreement further acknowledges that I shall not now or at any time in the future bring any legal action against Self Care Club, and that this waiver is binding on me, my heirs, my spouse, my children, my legal representatives, my successors and my assigns. My signature verifies that I am physically fit to participate and I have filled this form out to the best of my knowledge and ability.

  • Declarations

  • Powered by Jotform SignClear
  •  / /
  • Should be Empty: