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Long Lashes

General Beauty or Facial Treatments

General Spa Facial or Beauty Treatment Consent for

(Waxing, tinting, lash lift, general spa facials, manicure, pedicure, make up READ BELOW)


I consent to and authorize HARMONY WELLNESS SPA to perform the following procedures  I have booked for today.

 I have voluntarily elected to undergo this treatment/procedure after the nature and purpose of this treatment has been/ will be explained to me prior to the treatment along with the risks and hazards involved, by HARMONY WELLNESS SPA.


 Although it is impossible to list every potential risk and complication, I have been informed of possible benefits, risks, and complications. I also recognize there are no guaranteed results and that independent results are dependent upon age, skin condition, and lifestyle and that there is the possibility I may require further treatments of the treated areas to obtain the expected results at an additional cost. I will read and understand the post-treatment home care instructions that will be given to me at my treatment and available on request should I require additional information. I understand how important it is to follow all instructions given to me for post-treatment care. In the event that I may have additional questions or concerns regarding my treatment or suggested home product/post-treatment care, I will consult therapist immediately.

I have also, to the best of my knowledge, given an accurate account of my medical history, including all known allergies or prescription drugs or products I am currently ingesting or using topically. I have read and fully understand this agreement and all information detailed above. I understand the procedure and accept the risks. All of my questions have been answered to my satisfaction and I consent to the terms of this agreement. I do not hold the therapist at HARMONY WELLNESS SPA 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.

I agree and consent to these treatments and by completing the consultation form agree this is my digital signature and agreement.

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