I hereby consent and authorize, Lisa Primps a Licensed Esthetician, and
a SKIN SHEEKTM Certified Technician, to perform the following procedure using “Clear” by Skin SheekTM.
I acknowledge that the treatment goal is for esthetic improvement, I also recognize
that independent results are dependent upon age, skin conditions, and lifestyle
and that there is a possibility I may require further treatments of the areas treated
to obtain the expected results at an additional cost
On my own free will, I am requesting and providing my informed consent, to undergo
treatment(s) I understand that this is an elective procedure, performed solely for
cosmetic purposes, and is not critical to my health I assume all risks as my own I hereby
release them from any liability, both seen and unforeseen, now and forever.
April 22, 2021