Chemical Treatment Consent Form

Save some time before your skincare appointment. All your information is secure and we will never sell or share it with any 3rd parties. Read our privacy policy for more information.

  • Read this consent form thoroughly and check the circle of each section. Discuss any questions with your skin care professional before you initial. Your signature and date at the bottom constitute giving your consent to have a treatment.
    1. Redness
    2. Discomfort
    3. Redness and swelling
    4. Hypopigmentation
    5. Itching or irritation
    6. Skin peeling or flaking up to 14 days after the procedure
    7. Infection
    8. Hyperpigmentation
    9. Acne breakouts

  • Date Format: MM slash DD slash YYYY

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