Facial consent form

Name(Required)

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Email(Required)

Prior to receiving this treatment, I have been candid in revealing any condition that may have a bearing on this procedure, such as pregnancy, recent facial peels or surgery, allergies, tendencies to cold sores and fever blisters, use of Retin-A, Accutane, or Hormones, and recent or upcoming exposure to ultraviolet rays (sun or tanning beds).

I understand that to achieve maximum results, I will need several ongoing treatments and use daily product over a period of time, including sunscreen.(Required)

I understand that the possibility of redness and irritation exists and that I should notify my skin care professional when irritation persists.(Required)

I understand there are no guarantees to this procedure.(Required)

I have read the enclosed consultation and understand the contents.(Required)

I agree to all of the above to have this treatment performed on me and will follow all prescribed directions regarding post facial care.(Required)

Given the above, I understand that response to treatment varies on an individual basis and that specific results are not guaranteed. Therefore, in consideration for any treatment received, I agree to indemnify, hold harmless, and release from any and all liability Jcandy beauty services & aesthetics companies for any condition or result, known of unknown that may arise as a consequence of any treatment that I receive.

Consent(Required)

I agree to the privacy policy.

Signature(Required)