• Substance Skin Treatment Intake Form

    Complete the form below and you'll be on your way to beautiful skin.
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  • Your Skin

  • What skin care products are you currently using?

  • If I experience any pain or discomfort during this session, I will immediately inform the esthetician so that the session may be adjusted to my level of comfort. I further understand that esthetics should not be considered as a substitute for medical examination, diagnosis, or treatment, and that I should see a physician, or other qualified medical specialist for any mental or physical ailment that I'm aware of. I understand that licensed estheticians are not qualified to diagnose, prescribe, or treat any physical or mental illness, and nothing that is said in the course of the session given should be constructed as such. Because esthetics should not be performed under certain medical conditions, I affirm that I have stated all knon medication conditions, and answered all questions honestly. I agree to kep Substance of Taos and the esthetician updated as to any changes in my medical profile and understand that there shall be no liability on Substance of Taos and the esthetician's part if I fail to do so. 

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