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Waxing Informed Consent Form

Birthday
Month
Day
Year

Are you currently using any of the following products?

Retinol, Retin-A, Differin, Tretinoin
Yes
No
Alpha Hydroxy Acids (AHAs) or Beta Hydroxy Acids (BHAs)
Yes
No
Accutane in the past 12 months?
Yes
No
Using oral or topical antibiotics
Yes
No
Any other medications or treatments that may thin your skin?
Yes
No
Do you have, or have you ever had any of the following medical conditions that could compromise your skin barrier?
Do you use tanning beds?
Yes
No
Do you understand you must wait a minimum of seven (7) days before waxing after a light chemical peel or microdermabrasion?
Yes
No
Do you understand you must wait a minimum of fourteen (14) days before waxing after a heavy chemical peel or microneedling?
Yes
No
Do you understand you cannot be waxed if you have had a laser skin resurfacing in the past year?
Yes
No
Do you understand you cannot be waxed if you have sunburn, windburn or irritated in the area that will be waxed?
Yes
No

Waxing Informed Consent Agreement

By signing this form, I acknowledge that I have reviewed and understand the potential risks associated with waxing services. I confirm that I am not currently using, nor have I recently used, any of the following medications: Accutane, Adapalene, Isotretinoin, Retin-A, Renova, Alustra, Avita, Tazarotene, Tretinoin, Avage, or Differin. I understand that these medications, along with other factors such as retinol use, certain antibiotics, pregnancy, sunburn, menstruation, or medical conditions, may increase skin sensitivity or thinning, which could lead to skin lifting or adverse reactions during waxing.

I agree to inform my esthetician if I am using any of these medications or products, or if I experience any skin changes, prior to my appointment. I understand that failing to disclose this information may result in adverse reactions, for which I accept full responsibility.

I also understand that waxing may cause temporary redness, bumps, soreness, and/or itching as part of the normal process. By proceeding with the treatment, I consent to these risks and release Let's Glow Girls Spa and its esthetician from liability for any unforeseen reactions.

Policies

I value your time and appreciate your commitment to our appointments. To ensure smooth scheduling and fairness to all clients, the following cancellation and no-show policy is in effect:

  1. Card on File All appointments require a valid card on file at the time of booking. This card secures your spot and may be charged according to the cancellation and no-show policy outlined below.

  2. Cancellations or Rescheduling If you need to cancel or reschedule your appointment, you must provide at least 24 hours' notice. Any cancellations or reschedules made within 24 hours of the appointment time will result in the charge of 50% of the total cost of your booked appointments.

  3. Late Arrivals If you arrive 15 minutes or more after your scheduled appointment time, your appointment will need to be rescheduled, and result in the charge of 50% of the total cost of your booked appointments. This ensures that all clients receive their full treatment time and the schedule runs smoothly.

  4. No-Shows Failure to attend your scheduled appointment without prior notice will result in the charge of 50% of the total cost of your booked appointments. After two no-shows, you will be banned from booking future appointments.

  5. Refunds for Services Provided All services provided are final, and no refunds will be issued once the service is completed.

  6. Reporting Issues If you experience any issues with your service, please contact me within 24 hours of your appointment. I will do my best to address your concerns and ensure you’re satisfied with the results.

By booking an appointment, you agree to this cancellation and no-show policy. Thank you for your understanding and cooperation in helping me maintain a smooth-running business.

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