Consent Form - Waxing

WAXING CONSENT FORM

NAME

AFTER CARE

Do you have or are you prone to ingrown hairs?s

Scarring?

Hyperpigmentation

Bumps

Bruising

Are you diabetic?

Have you ever been treated for cancer?

Do you use a tanning bed?

Any other illness/conditions you are presently being treated for by a medical professional?

List any allergies you have:

TREATMENT CONSENT: Although every precaution will be made to ensure your safety and well-being before, during and after service.

I authorize Elke Von Freudenberg Salon to perform the Facial Waxing procedure. I understand the procedure is as follows above. I have read the above information. If I have any concerns, I will address these with my specialist. I give permission to my therapist to perform the tinting procedure we have discussed, and will hold him/her and his/her staff harmless from any liability that may result from this treatment. I have accurately answered the questions above, including all known allergies, prescriptions or products I am currently ingesting or taking topically. I understand my therapist will take every precaution to minimize or eliminate negative reactions as much as possible. In the event I may have additional questions or concerns regarding my treatment, I will consult the esthetician immediatley. I agree that this constitutes full disclosure and that it supersedes any previous opportunity for discussion to have any questions answered. I understand the procedure and accept the risks. I do not hold the esthetician whose signature appears below, responsible for any of my conditions that were present but not disclosed at the time of this skin care procedure, which may be affected by the treatment performed today.

CONSENT: FULL NAME

DATE

WAXING CONSENT FORM

ELKE VON FREUDENBERG
EYEBROW SPECIALIST
PRIVATE SALON

APPOINTMENT ONLY

SALON

SHOP

PRO

VIP CLIENTS

POLICIES