The information provided in this form is completely private and never shared. All information is used to give me optimal treatments and recommendations for healthier skin and pure beauty.
When signing this form, it is understood by me the information provided never is a substitute for medical care but is complementary and alternative. Any information provided by my esthetician is for educational purposes and not intended for diagnostic care. The information provided by me is to assist in giving my esthetician proper service protocol and is kept completely private.
The information about the herbal treatments being used and herbal care sold has been thoroughly explained to me, and I've been given an opportunity to ask questions and receive satisfactory answers. I understand that if I’m using any medications, products, or have any health issues I choose to keep undisclosed to my esthetician prior to service or herbal care given, I'm accepting full responsibility for any adverse reaction that may occur.