Step 1 of 7
Please indicate your answer by checking one box per question and provide detail where appropriate.
To the client:
You have the right to be informed about the procedure(s) to be administered, including benefits, risks, and potential side-effects, so that you can decide whether to proceed. You are encouraged to ask any questions you may have and to consult with a therapist if you have additional questions.
Refrain from:
Procedure:Waxing is a procedure to remove unwanted hair from its roots. Wax is applied to the skin and then quickly pulled away, taking hair with it.
Side Effects:
The side effects listed here are merely examples and are not intended to be an exhaustive list.
Waxing may cause inflammation, welts, hives, skin lifting, and reddening or small breakouts.
This is usually not severe and typically will subside within a few days.Please contact us immediately if you experience more severe or long-lasting side effects.
Avoidance:
Accutane (wax after 12 months)
Antibiotics (wax after 2 to 3 weeks)
Cortisone creams – steroid (after 3 months)
Retin-A / Renova tretinoin (wax after 7 days)
AHAs / BHAs / Glycolic / Acids / chemical peels (wax after 7 days)
Laser treatments (wax after 3 to 4 weeks)
Microdermabrasion (wax after 2 to 3 weeks)
Recent cosmetic surgery once healed and clear from GP
I Understand that I am responsible for notifying the beauty therapist if any of the information should change before treatment. I confirm that the information is true to be best of my knowledge. I have been fully informed about the expected results and effects of my treatment and agree to follow all aftercare advise provided by therapist. I acknowledge that all information is confidential and will be held on file for 7 years, being solely for the purpose and use of my therapist. I hereby give my consent to proceed with treatment. I understand and agree that all services rendered are charged directly to me and I am personally responsible for payment. I further agree in the event of non-payment, to bear the cost of collection, and/or Court cost and reasonable legal fees, should this be required. By signing below, I acknowledge that I have read the foregoing informed consent and agree to the treatment with its associated risks. Under fake not to make a claim against the therapist and salon and do hereby indemnify and hold the said business, its Owner and Employees harmless in respect of any claim or damage suffered by me in the consequence of undergoing the treatments procedure.
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