Waiver & Consent - FormTreatment Consent & Liability WaiverThis form must be completed prior to receiving any beauty services. It ensures your safety and our compliance with industry standards. Please complete all relevant sections.Client DetailsPlease provide your personal information.First NameLast NameEmail AddressDate I am over the age of 16Selected ServicesPlease select all services you are receiving today.Services Threading (Eyebrows / Upper Lip / Chin / Face) Facial Waxing (Eyebrows, Lips, Chin, Face) Body & Intimate Waxing (Arms, Legs, Underarms, Bikini, etc.) Eyebrow Tinting Lash Lift Eyelash Extensions / RemovalPatch test reviewed Yes No Not ApplicableMedical DeclarationYour safety is our priority. Please answer the following medical questions accurately.Are you currently taking any medication? Yes NoDo you have any allergies (e.g., latex, adhesive, nuts)? Yes NoProvide DetailsDo you suffer from any of the following: Diabetes, Epilepsy, Asthma, Heart Conditions, Pregnancy, Skin Conditions? Yes NoHave you had any cosmetic procedures? Yes NoDo you have any current irritation, wounds, or infections in the treatment area? Yes NoMedical Treatment (select all that apply) Botox Fillers Plastic Surgery Any OtherProducts used (select all that apply) N/A Retin A AHA Accutane Glycolic Acid OtherPhoto ConsentPlease select your photography preferences.Photo Consent I consent to photos for treatment records I consent to photos for marketing I do not consent to any photographAcknowledgementsPlease review and confirm the following statements.Statements I understand that minor redness, swelling or irritation may occur depending on my skin type and sensitivity. I understand that I must inform the therapist of any changes to my medical condition or allergies. I confirm I am over the age of 16 (or accompanied by a parent/guardian if under 16). I confirm I’ve been offered a patch test where required and understand refusal is at my own risk. I agree to follow the aftercare instructions provided by my therapist.Terms & ConditionsPlease read our salon policies carefully.Management reserves the right to offer replacement services at its discretion. Complaints must be submitted by 7:00 PM the same day with photographic evidence. Photography in the salon requires prior consent to respect everyone's privacy. Patch tests are required for certain treatments. Inform your therapist of all medical details. Minor risks are possible; no liability accepted for expected reactions. Refunds are not guaranteed and are reviewed on a case-by-case basis. I have read, understood, and agree to the Terms & Conditions outlined above.SignaturesBy signing below, you confirm understanding of the entire agreement.Client SignatureTherapist NameTreatment DateTherapist SignatureSubmit Form
