Completing and Signing the Intake Form

I understand, have read and completed this questionnaire truthfully. I agree that this constitutes full disclosure, and that it supersedes any previous verbal or written disclosures. I understand that withholding information or providing misinformation may result in contraindications and/or irritation to the skin from treatments received. I am aware that it is my responsibility to inform the esthetician/skin care therapist of my current medical or health conditions and to update this history. The treatments I receive here are voluntary and I release this institution and/or skin care professional from liability and assume full responsibility thereof.

By submitting this form, I hereby confirm that I have read and understood the information provided in this form. I voluntarily provide my personal information and consent to its collection, storage, and processing for the purposes outlined in the form.

I also acknowledge that I have read and agreed to the Terms of Service and Privacy Policy.

If you have any concerns or questions regarding the use of your personal information, please refer to our Privacy Policy or contact us for further assistance.