Sugaring/Waxing Visit Form
Sugaring hair removal, an ancient middle-eastern practice, is similar to waxing, but the paste sticks to the hair not to the skin, which causes less redness, pain, and in ammation. And, since the mixture is made of natural ingredients, there’s less irritation and it washes off easily with water. Just like waxing, if not done properly or unknown skin conditions are not disclosed, sugaring could lead to painful or infected ingrown hairs, or bruising. When the client keeps the trained professional informed about their skin, the results are smooth skin that can last up to 6 weeks.
Full Name *
Your answer
I understand there are certain contraindications that would preclude me from receiving sugaring hair removal, such as uncontrolled diabetes, melanoma, open wounds, varicose veins, and sunburn. *
Required
I understand that the use of (AHA) alpha hydroxy or glycolic acids, Retin-a, Renova, or Accutane within 72 hours of sugaring/waxing is contraindicated and may cause the skin to lift or peel. *
Required
I understand that the use of tanning beds and/or sun exposure immediately after sugaring hair removal is contraindicated. *
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 have cited all conditions and circumstances regarding my health history, medications being taken, and any past reactions to products or medications. *
Required
I understand that sugaring hair removal may permanently damage hair follicles, resulting in permanent hair loss. *
Required
I understand that if I have any concerns, I will address these with my skin care specialist. I give permission to my skin care specialist to perform the sugaring/waxing hair removal procedure we have discussed, and will hold him/her and his/her staff harmless and nameless from any liability that may result from this treatment. I have accurately answered the questions above, including all known allergies, prescription drugs, conditions,or products I am currently ingesting or using topically. I understand my skin care specialist will take every precaution to minimize or eliminate negative reactions as much as possible. In the event I may have additional questions or concerns regarding my treatment, I will consult the skin care specialist immediately. *
Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms