Enhanced Sugaring/Waxing Intake Form
Full Name *
Your answer
Have you ever had professional sugaring hair removal before *
Have you ever been waxed before *
Do you regularly *
Required
Do you have, or have tendencies of: *
Required
Are you currently taking, had or used any of the following in the past 6 months *
Required
If I have Herpes or MRSA I may experience an outbreak. I also understand I may carry Herpes/MRSA without any physical symptoms or having a medical diagnosis confirmed. *
Required
Rarely, epilation may cause bruises, scabs, scarring, redness, hyperpigmentation or an histamine reaction or in very rare occurrences epilation can cause tearing of soft tissues resulting in need for stitches (Brazilian area). *
Required
I also understand if I change my skincare routine or medications, I must inform my professional PRIOR to any future service. *
Required
THE INFORMATION THAT I’VE PROVIDED IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE. I WILL INFORM MY THERAPIST IF ANY OF MY INFORMATION CHANGES IN FUTURE VISITS TO ENHANCED DAY SPA. I ALSO RELEASE ENHANCED DAY SPA AND ALL CONTRACTED EMPLOYEES FROM ANY LIABILITY IF ANYTHING SHOULD HAPPEN WHILE VISITING THE ESTABLISHMENT, AND I WILL NOTIFY ENHANCED OF ANY REACTIONS FOLLOWING MY VISIT. *
Required
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