Client Inform Consent FormPlease fill out prior to your appointment. Thank you! Name * First Name Last Name Are you under 18? If yes, please provide minors full name. * Client Inform Consent Form: Client Informed Consent for Skincare Skincare Services Provided by: Business Name: Facial Entity LLC Introduction: Thank you for choosing [Facial Entity] for your skincare services. Our goal is to provide you with high-quality treatments tailored to your skincare needs. It is essential that you fully understand the treatments being offered, any associated risks, and your responsibilities before proceeding. Please read the following informed consent form carefully. Your signature indicates that you have read and understood the information, and you agree to the terms and conditions stated below. Types of Treatments At [Facial Entity], we offer a variety of skincare services, which may include, but are not limited to: Facials (including microdermabrasion, dermaplaning, hydro facials, LED light therapy, oxygen infusion, chemical peels, etc.) Exfoliation treatments (AHA/BHA peels, enzyme treatments) Anti-aging treatments (collagen induction, Microneedling, Nano-needling, or similar services) Acne and pigmentation treatments (peels, extractions, light therapy) Hydration and rejuvenation facials (hydrating masks, serums, and treatments) You will be advised on the specific skincare treatment best suited to your skin type and concerns during the consultation process. Possible Side Effects & Risks Although most clients benefit from skincare services without complications, it is important to be aware of the potential risks and side effects, which may include: Redness, irritation, or swelling at the treatment site Allergic reactions to products used during the treatment Breakouts or purging following extractions or chemical treatments Sensitivity or mild discomfort, particularly after exfoliation or peels Dryness, flaking, or peeling of the skin Hyperpigmentation, scarring, or post-inflammatory pigmentation in rare cases By proceeding with our services, you acknowledge that side effects can occur and that you have had the opportunity to ask any questions related to the treatment, its side effects, or the aftercare. Pre-Treatment Considerations I have provided accurate information regarding my medical history, including any known allergies, medications (topical or oral), previous skin treatments, and any skin conditions (e.g., eczema, rosacea, psoriasis, etc.) that may affect the outcome of the service. I understand that certain medications, such as Accutane (isotretinoin), retinoids, or other acne treatments, may increase skin sensitivity and pose additional risks during skincare treatments. I will inform my esthetician if I have used or am using such medications. Post-Treatment Care & Client Responsibility Following your skincare treatment, it is essential to follow the prescribed post-care regimen to ensure optimal results and minimize any potential complications. You agree to: Use sunscreen daily (minimum SPF 30) to protect your skin from UV damage, particularly after exfoliation or chemical peels. Avoid sun exposure, tanning beds, and any heat-related activities (e.g., saunas, hot tubs) for at least 72 hours post-treatment. Refrain from using harsh skincare products such as exfoliants, retinoids, or peels unless advised otherwise by your esthetician. Avoid touching, picking, or scratching your skin after treatments, especially after extractions or peels. I understand that failure to follow the recommended aftercare could increase the risk of complications and reduce the effectiveness of the treatment. Results & Treatment Expectations: Skincare treatments are designed to improve the appearance and condition of the skin over time. However, results may vary from client to client, and multiple sessions may be necessary for optimal results. I acknowledge that while skincare treatments can provide significant improvements, there is no guarantee of permanent results or the complete resolution of skin concerns. Payment & Cancellation Policy: I acknowledge that payment for the services is due at the time of the appointment unless otherwise arranged. I understand the cancellation/no-show policy, which requires [time frame, e.g., 24 hours] notice for cancellations or rescheduling to avoid fees. I agree to provide payment for any missed or late cancellations as outlined by [Facial Entity]'s policies. Release of Liability: I, understand as a client of Facial Entity, acknowledge that I am voluntarily undergoing skincare treatments with full knowledge of the potential risks and side effects. I release [Facial Entity] and its estheticians from any liability resulting from adverse reactions or complications that may arise from the skincare services provided. I understand that I am responsible for communicating any concerns or questions before, during, or after treatment. Treatment of a Minor: If the client is under the age of 18 and receiving services at Facial Entity, the guardian's name listed above acknowledges full responsibility for providing informed consent on behalf of the minor. By proceeding with Facial Entity services, the guardian agrees to all terms outlined in the informed consent form, including the nature and purpose of the treatment, any associated risks, and aftercare instructions. Please provide the minor’s full name for proper documentation. below if pertains to the client. By proceeding I confirm that I have fully understand and acknowledge the Client Inform Consent form stated above: Fully understood the treatment(s) being proposed, including the risks, benefits, and any alternative options available to me. Provided my full and accurate medical history. Agreed to follow the post-care instructions provided to ensure the best results. Had the opportunity to ask questions and receive satisfactory answers. This consent is valid for all current and future treatments or facials performed at Facial Entity, allowing our specialists to provide you with the best possible care based on the information you provide. Please write your full name below to indicate your consent and Acknowledgment. By Electronic Signature, you agree that this is a binding contract. * Thank you, for taking the time to complete our form. See you soon!
