I have acknowledged that all the information provided by me is true and correct to the best of my knowledge. I understand that Esthetics/ Skin care therapy cannot cure, treat, prevent or diagnose conditions. These treatments are used as regimens for improving skin appearance and wellness. I furthermore understand that Esthetics should not be considered a substitute for medical examination and that I should see a physician or other qualified medical specialist for any mental or physical ailment that I am aware of.
Any information exchanged during a skin treatment session is confidential, should be given at my own discretion and is only used to provide the best skin care treatment.
If I experience any pain, discomfort or experience any complications I will discuss them with my Esthetician immediately so that the products and/ or techniques may be adjusted to my level of comfort.
I understand that withholding any information or providing misinformation may result in contraindications and/ or irritations of the skin from treatments received. I understand that everyone's skin is different and irritations may occur.
The Esthetician reserves the right to refuse service to anyone for any reason.
By checking the box below I acknowledge that I have read and understand all parts of this consent/ intake form and that I have had the opportunity to ask any questions with regards to any services offered. I release Touch of Radiance, LLC. and any of its Estheticians from any liability.