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Home
About Us
Services
Facials
Massage
Waxing
Massage Packages
Holistic Health
Permanent Makeup
Lift & Tint
Body Treatments
Threading
Lash Extensions
Spa Day Packages
Pricing
Policies
Shop
Forms
FAQ
Contact Us
Waxing Form
Name
*
Phone
*
Email
*
Birthday
*
Mailing Address
*
City
*
State
*
Zip
*
Emergency Contact
*
Emergency Contact Phone Number
*
Have you used and Alpha Hydroxy Acid (AHA) or glycolic products in the past 48-72 hours?
*
Yes
No
Are you using Retin-A/Retinol/Acutane (oral form of Retin-A)?
*
Yes
No
Are you currently using any blood thinning medications?
*
Yes
No
Are you exposed for prolonged periods of time to the sun on a daily basis or are you considering spending more time in the sun soon?
*
Yes
No
Do you use the tanning bed?
*
Yes
No
Are you a diabetic?
*
Yes
No
Do you take/have hormonal contraceptives or implants?
*
Yes
No
N/A
Are you taking hormone replacement medication?
*
Yes
No
N/A
Are you pregnant or trying to become pregnant?
*
Yes
No
N/A
Are you nursing?
*
Yes
No
N/A
I understand that waxing does have certain side effects such as skin removal, redness, swelling, tenderness, etc. The goal of waxing, as in any cosmetic procedure, is improvement not perfection. I understand that my results may not be perfect. In the case of waxing, the number of treatments necessary will vary among individuals and the areas being treated. I understand the practice of aesthetics is not an exact science and that no specific guarantees can or have been made concerning the expected results.
*
I have read all of the above
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