Acknowledgement and Waiver
I hereby agree to have this treatment. I am aware that products used in facials and homecare can contain tree nuts, dairy and gluten. I acknowledge that the estheticians at skin theory may use products that contain these ingredients or are manufactured in a plant with these ingredients. I am aware that even with natural ingredients there is a remote chance of an allergic reaction and there is a possibility of an adverse reaction to product used in facials.
I am also aware that certain services should not be performed with certain medical conditions. I have disclosed all my known medical conditions, allergies, medications and answered all questions honestly on the above form and agree to update Skin Theory as to any changes.
I acknowledge the estheticians at Skin Theory do not provide medical advice and I accept full responsibility to seek out advice before receiving any services or products from Skin Theory. I hereby release, discharge and waive all claims against Skin Theory and each of their partners, employees, representatives or any person(s) performing services or applying any products at Skin Theory, including from liability and responsibility for any and all illness, injuries, damages, claims, rights and causes of action of any kind or nature, that may occur during or arising out of any services or products received on this and any future dates. I expressly assume and accept the risk for any injuries sustained. I have read this entire document and agree to its terms.