*Because of water retention and for your own personal comfort, avoid hair removal two days before your cycle starts and two days after.

Have you used any Alpha Hydroxy Acid (AHA) or Glycolic Acid products, Resorcinol, Scrubs or Peels in the past 48-72 hours?
Are you using Retin-A, Renova or Accutane (an oral form of Retin-A)?
Are you using any other skin thinning products and/or drugs?

Do you have or are you prone to?


*If yes, what to?
Are you exposed to the sun on a daily basis or are considering spending more time in the sun soon?
Do you use a tanning bed?
Are you currently taking any medications? If so, please list all (including over the counter drugs/herbal supplements)
Are you a diabetic?
Have you ever been treated for cancer?
If Yes, when and what type of therapies were used?
Please list any other illness/conditions you are currently being treated for by a medical professional

*Please note that waxing does have certain side effects such as skin removal, redness, scabbing, bruising, scarring, swelling, tenderness, hyperpigmentation, and/or pimples.

  • I have read and understand the post-treatment home care instructions. I am willing to follow the recommendations made by my esthetician for a home care regimen that can minimize or eliminate possible negative reactions. In the event that I may have additional questions or concerns regarding my treatment or suggested home product/post-treatment care, I will consult my esthetician immediately.
  • I agree that this constitutes full disclosure, and that it supersedes any previous verbal or written disclosures. I certify that I have read and fully understand the above paragraphs and that I have had sufficient opportunity for discussion to have any questions answered. I understand the procedure and accept the risks. I do not hold the esthetician, whose signature appears below, responsible for any of my conditions that were present, but not disclosed at the time of this skin care procedure, which may be affected by the treatment performed today.

*18% Gratuity is automatically included with each service.