CLIENT CONSENT FORM

This form MUST be filled out and signed within 78 hours prior to your skincare appointment, for safety precautions. But it is crucial that you go over this consent form 3 days prior to the appointment to ensure that your skin is prepared for the treatment. If the necessary precautions are not taken, Andrea will not be able to perform the service, either chemical peel or waxing procedure, that you would like.


Fill out the form:

  • Please check each box, after you have read the statement.
  • Yes, I understand.
  • Yes, I understand.
  • Yes, I understand.
  • Yes, I understand.
  • Yes, I understand.
  • Yes, I understand.
  • Yes, I understand.
  • Yes, I understand.
    (Ask Andrea if you have any questions about this.)
  • Yes, I understand.
  • Yes No
    If yes, I agree that I will be on anti-viral medication during the procedure and healing process.
  • Yes, I understand.
  • Yes, I understand.

  • By submiting this form, you are comfirming that you have read, and agree to everything in this form.

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"I believe that health, happiness, and beauty go hand in hand. Go ahead. Spoil yourself. You deserve it!"

Andera2




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