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Birth Date *

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Here is a list of common contraindications for waxing, please check any that may apply to you. *

Skin Conditions: Open wounds, cuts, or abrasions in the waxing area.

Skin Conditions: Sunburned skin.

Skin Conditions: Skin infections such as folliculitis, cellulitis, or herpes simplex.

Skin Conditions: Active acne outbreaks or cystic acne in the waxing area.

Skin Conditions: Eczema, psoriasis, dermatitis, or other inflammatory skin conditions.

Medications and Treatments: Use of medications that affect skin integrity, such as isotretinoin (Accutane) or oral retinoids.

Medications and Treatments: Recent use of topical retinoids or corticosteroids in the waxing area.

Medications and Treatments: Recent chemical peels, laser treatments, microdermabrasion, or dermaplaning in the waxing area.

Medical Conditions: Diabetes or other circulatory disorders that affect wound healing.

Medical Conditions: Immunocompromised conditions.

Medical Conditions: History of allergic reactions to wax or any of its components.

Medical Conditions: Pregnancy (certain areas may be more sensitive or prone to irritation during pregnancy).

Allergies: Known allergies to ingredients in the wax or pre/post-waxing products (e.g., fragrances, dyes, resins).

Recent Procedures: Recent waxing within the past 24-48 hours (to prevent over-exfoliation or skin irritation).

Recent Procedures: Recent sun exposure in the waxing area (increases risk of skin sensitivity).

Other: Previous adverse reactions to waxing, such as severe redness, swelling, or blistering.

Other: Inexperienced or sensitive skin that may be more prone to adverse reactions.

N/A: If none of the above apply to you, please check this box.

I acknowledge and agree to the following terms and conditions before undergoing any body waxing services. I understand that waxing involves the removal of hair from the root, which may cause temporary discomfort, redness, or irritation to the treated area. However, I also understand that there are certain contraindications that may make waxing unsuitable or potentially harmful for me. Therefore, I confirm the following: *

Read and check the boxes

I have disclosed all relevant medical conditions, allergies, and medications to the waxing professional, including but not limited to: Allergies to wax or any other ingredients used in the waxing process. Skin conditions such as eczema, psoriasis, dermatitis, or open wounds in the waxing area. Diabetes or any other circulatory disorders. Use of medications such as isotretinoin (Accutane), retinoids, or topical corticosteroids. Recent sunburn or prolonged sun exposure in the waxing area. History of adverse reactions or complications from waxing or other hair removal methods.

I understand that if I have any of the above contraindications, it may not be safe for me to undergo waxing, and I acknowledge the recommendations of the waxing professional regarding alternative hair removal methods.

I agree to inform the waxing professional of any changes in my medical history or skin condition before each waxing session, to ensure my safety and well-being.

I acknowledge that the waxing professional reserves the right to refuse waxing services if they determine that it may pose a risk to my health or if there are contraindications present.

I understand that it is my responsibility to follow all pre and post-waxing instructions provided by the waxing professional to minimize the risk of complications and achieve optimal results.

I acknowledge that there is a risk of skin irritation, allergic reactions, or other adverse effects as a result of waxing, even in the absence of contraindications, and I release the waxing professional and the establishment from any liability associated with such reactions.

I have been informed of the potential risks and benefits of body waxing, including the presence of contraindications, and I consent to undergo the treatment at my own risk.

I agree to hold harmless the waxing professional and the establishment from any claims, damages, or liabilities arising from or related to the waxing services provided, including but not limited to complications arising from contraindications.

I have read and understood the above terms and conditions, including the contraindications, and I voluntarily consent to undergo face and body waxing services.

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