Facial Lounge operates http://www.faciallounge.com. This page informs you of our policies regarding the collection, use, and disclosure of Personal Information we receive from users of http://www.faciallounge.com.

We use your Personal Information only for providing and improving the Site. By using http://www.faciallounge.com, you agree to the collection and use of information in accordance with this policy.

Information Collection And Use

While using http://www.faciallounge.com, we may ask you to provide us with certain personally identifiable information that can be used to contact or identify you. Personally identifiable information may include, but is not limited to your name, email, phone number, address, billing information.

Log Data

Like many site operators, we collect information that your browser sends whenever you visit http://www.faciallounge.com.

This Log Data may include information such as your computer’s Internet Protocol (“IP”) address, browser type, browser version, the pages of our Site that you visit, the time and date of your visit, the time spent on those pages and other statistics.

In addition, we may use third party services such as Google Analytics that collect, monitor and analyze this …

Communications

We may use your Personal Information to contact you with newsletters, marketing or promotional materials and other information related to our business, promotions, events, latest blog posts, etc.

Cookies

Cookies are files with small amount of data, which may include an anonymous unique identifier. Cookies are sent to your browser from a web site and stored on your computer’s hard drive.

Like many sites, we use “cookies” to collect information. You can instruct your browser to refuse all cookies or to indicate when a cookie is being sent. However, if you do not accept cookies, you may not be able to use some portions of our Site.

Security

The security of your Personal Information is important to us, but remember that no method of transmission over the Internet, or method of electronic storage, is 100% secure. While we strive to use commercially acceptable means to protect your Personal Information, we cannot guarantee its absolute security.

Changes To This Privacy Policy

This Privacy Policy is effective as of August 1st, 2019 and will remain in effect except with respect to any changes in its provisions in the future, which will be in effect immediately after being posted on this page.

We reserve the right to update or change our Privacy Policy at any time and you should check this Privacy Policy periodically. Your continued use of the Service after we post any modifications to the Privacy Policy on this page will constitute your acknowledgment of the modifications and your consent to abide and be bound by the modified Privacy Policy.

If we make any material changes to this Privacy Policy, we will notify you either through the email address you have provided us, or by placing a prominent notice on our website.

Contact Us

If you have any questions about this Privacy Policy, please contact us..


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BioRePeelC13 Client Consent Form

BY SIGNING BELOW, I AGREE TO THE TREATMENTS BEING RECOMMENDED AND AGREE TO ASSUME ITS ASSOCIATED RISK. I HEREBY GIVE CONSENT TO THE ESTHETICIAN AND FACIAL LOUNGE GROUP TO PERFORM MY TREATMENTS.

Treatment Information

I understand that the BioRePeelC13 treatment is a cosmetic procedure designed to remove surface layers of the skin to improve its vitality. The nature and purpose of the treatment have been explained to me in detail. I voluntarily request the procedure and acknowledge that the esthetician has found me eligible for treatment.

Potential Side Effects

I acknowledge that, although the treatment is considered safe and effective, side effects may occur. These include, but are not limited to:

  • Redness (erythema), swelling (edema), and irritation at the treated area
  • Itching, mild burning sensations, or pain similar to sunburn within 48 hours of treatment
  • Possible whiteheads, cold sores, infection, scarring, numbness, or permanent discoloration I understand these effects are typically temporary but could last longer in some cases. If I experience any adverse reactions, I will notify my esthetician immediately.

Precautions

I understand the importance of using sunscreen with an SPF of 50 or higher post-treatment and that adherence to pre- and post-care instructions is vital to my safety and optimal results. Failure to comply may impact the treatment's effectiveness and increase the risk of side effects.

No Guarantee of Results

I understand that individual results vary, and there is no guarantee regarding the outcome of the treatment. I acknowledge that multiple treatments may be necessary to achieve desired results, and that refunds will not be provided for services received.

Medical History

I certify that I am not currently using any products or medications that may interfere with the treatment, including Retin-A or actives. I have disclosed all relevant medical history to my esthetician, including but not limited to:

  • Pregnancy or nursing
  • Skin conditions such as eczema or psoriasis
  • Recent surgical or cosmetic procedures
  • A history of Herpes Simplex or keloid scarring
  • Use of Accutane or similar medications in the last 6 months

Consent for Photography

I authorize the use of before and after photos for my patient profile. I understand that these photos may be used for marketing purposes with my identity protected.

Payment and Cancellation Policy

I agree to the payment terms as outlined by Facial Lounge, and I understand that all service sales are final. No refunds will be given for completed treatments. I acknowledge that all prices are subject to change without notice.

Parent or Guardian's Email Address
Email*
Check to receive information, news, and discounts by e-mail.
Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
First Your Name
First Name*
Last Name*
Phone*
First Your Date of Birth*
Date of Birth
First Your Signature*
Second Your Name
First Name*
Last Name*
Phone*
Your Date of Birth*
Date of Birth
Third Your Name
First Name*
Last Name*
Phone*
Your Date of Birth*
Date of Birth
Fourth Your Name
First Name*
Last Name*
Phone*
Your Date of Birth*
Date of Birth
Fifth Your Name
First Name*
Last Name*
Phone*
Your Date of Birth*
Date of Birth
Sixth Your Name
First Name*
Last Name*
Phone*
Your Date of Birth*
Date of Birth
Seventh Your Name
First Name*
Last Name*
Phone*
Your Date of Birth*
Date of Birth
Eighth Your Name
First Name*
Last Name*
Phone*
Your Date of Birth*
Date of Birth
Ninth Your Name
First Name*
Last Name*
Phone*
Your Date of Birth*
Date of Birth
Tenth Your Name
First Name*
Last Name*
Phone*
Your Date of Birth*
Date of Birth
Just a few more questions...
Existing or Recent Illness*
No
Yes
If yes, what illness?
Hospitalization/Surgery?*
No
Yes
If yes, what surgery or hospitalization?

Please list medications that you take regularly, including hormones, vitamins, etc.

Please list any medicine intolerances you have.

Aesthetic procedures in the treatment area
Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name
First Name*
Last Name*
Phone*
Parent or Guardian's Date of Birth*
Date of Birth
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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