Please note that waxing has certain side effects such as skin removal, redness, swelling, tenderness, scabbing, scaring, hyperpigmentation, and/or pimpels etc. If you have any concerns please address them with your esthetician as soon as possible.
New use of any of the medications listed in the Waxing Questionnaire below increases the possibility of a reaction. Please inform the esthetician if you have begun taking any new medications since your last session.
Waxing of soft tissue may cause the skin to tear resulting in the need for stitches. The most common occurrence of this is in a Brazilian bikini wax.
Post Treatment Home Care Instructions
I have read the above information and if I have any concerns, I will address them with my esthetician. I give permission to my esthetician to perform the waxing procedure we have discussed and will hold her and Essentials Massage & Facial Spa of Pasadena harmless from any liability that may result from this treatment. I will give an accurate account of the questions asked in the consent form below including all known allergies or prescription drugs or products I am currently ingesting or using topically. I understand my esthetician will take every precaution to minimize or eliminate negative reactions as much as possible.
I have read and understand the post-treatment home care instructions. I am willing to follow the recommendations made by my esthetician for a home care regimen that can minimize or eliminate possible negative reactions. In the event that I may have additional questions or concerns regarding my treatment or suggested home product/posttreatment care, I will consult my esthetician immediately.
I agree that this constitutes full disclosure, and that it supersedes any previous verbal or written disclosures. I certify that I have read and fully understand the above paragraphs and that I have had sufficient opportunity for discussion to have any questions answered. I understand the procedure and accept the risks. I do not hold the esthetician, who performs the service, responsible for any of my conditions that were present, but not disclosed at the time of this skin care procedure, which may be affected by the treatment performed today.
January 18, 2020