Wax Client Intake Form

Wax Client Intake Form

This form will help you gather information and consent from your clients before a skin waxing service. Form Preview
  • Client Information and Consent - Waxing

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  • Please note  that waxing does have certain side effects such as skin removal, redness, swelling, tenderness, etc. 

    I have read the above information and if I have any concerns, I will address these with my skin therapist. I give permission to my therapist to preform the waxy procedure we have discussed and will hold her and her staff harmless from any liability that may result from this treatment.  I have given an accurate account of the questions asked above including all known allergies or prescription drugs or products I am currently ingesting or using topically. I understand my aesthetician will take every precaution to minimize or eliminate negative reactions as much as possible. 

      I have read and understand post treatment home care instructions. I am willing to follow recommendations made by my aesthetician for a home care regimen that can minimize or eliminate possible negative reactions.  In the event that I may have additional questions or concerns regarding my treatment or suggested home product/posttreatment care I will consult the aesthetician immediately.

      I agree that this constitutes full disclosure, and that it supersedes any previous verbal or written disclosure's. I certify that I have read, and fully understand the above paragraphs and that I have had sufficient opportunity for discussion to have any questions answered.  I understand the procedure and except the risks. I do not hold the aesthetician, who signature appears below, responsible for any of my conditions that were present, but not disclosed at the time of the skin care procedure, which may be affected by the treatment performed today.  

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