Medical History and Consent Form

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Medical History & Consent Form

First Name

Last Name

Phone/Mobile

Date of Birth

By checking this box, I confirm my understanding of the following statements:

I understand that treatment cannot be performed during pregnancy.
I acknowledge that treatment cannot be performed if I am taking any photosensitive antibiotics.
I am aware that treatment cannot proceed if I have recently applied a spray tan.
I understand that results from Laser Hair Removal vary from person to person. While 6-8 treatments are generally recommended for optimal results, there is no guarantee regarding the specific number of treatments required for permanent results, and therefore no refunds are offered for completed treatments.
I acknowledge that I have read and agree to the Cancellation Policy.
I understand that the treatment area must be shaved prior to my appointment.
I acknowledge that treatment cannot be performed if I have taken Accutane within the past six months.