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Wax Hair Removal Informed Consent & Pre and Post Care Instructions

Please note that waxing does have certain side effects such as skin removal, redness, swelling, tenderness, etc.
I have read the intake form and completed it truthfully and if I have any concerns, I will address these with my skin therapist. I give permission to my therapist to perform the waxing procedure we have discussed and will hold her and her staff harmless from any liability that may result from this treatment.
I have given an accurate account of the questions asked above including all known allergies or prescription drugs or products I am currently
ingesting or using topically. I understand my esthetician will take every precaution to minimize or eliminate negative reactions as much as possible.
I have read and understand the post-treatment home care instructions. I am willing to follow 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 the 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, or Old Mechanicsville Health Spa, LLC, Old Mechanicsville Properties, LLC, or Brandi Bovell 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.

PLEASE NOTE: Hair must be at least the length of a grain of rice for us to perform wax hair removal services. If a client arrives without the hair being at least the length of a grain of rice, services will not be performed, and full price will still be charged as service not cancelled with at least 24 hours notice.

Pre and Post Wax Home Care:

It is crucial to the health of your skin and the success of your hair removal that these guidelines be followed.

If you are experiencing any of the following, inform us immediately, and your appointment will be rescheduled to a time when it is safe for you to receive treatment:

• Active cold sores or warts
• Open wounds or lesions
• Sunburn
• Excessively sensitive skin
• Dermatitis, Psoriasis or Eczema
• Untreated skin cancer in treatment site
• Recent surgery in treatment site
• Recent permanent makeup in treatment site
• Rashes, allergies or sensitive skin reactions
• Accutane use in the past 12 months
• Radiation or chemotherapy in the past 12 months

Pre Treatment Home Care:

Exfoliate a few days before waxing and in between waxing services to remove dead skin cells and minimize the chance of getting ingrown hairs or bumps as the new hair grows.

Grow hair to at least a ¼-inch, and don’t shave before waxing.

2 weeks before your treatment avoid:

• Electrolysis, waxing, depilatory creams
• Laser or IPL treatments
• Chemical peel or microdermabrasion treatments
• Retin-A, Renova, Differin, Tazorac
• Products containing, Retinol, AHA, BHA or Benzoyl Peroxide
• Exfoliating products that may be drying or irritating
• Sun exposure or sunburn

Post Treatment Homecare:

To ensure maximum comfort and benefit after the treatment, it is important to follow the steps
below at home:
• Avoid applying heat to the waxed area for 12 to 24 hours. This includes hot baths, sauna, and steam.
• Use an anti-acne lotion for face, back and chest following the treatment and twice a day until breakouts are gone. Use only an anti-acne product recommended by your skin care professional.
• Avoid sun tanning for 12 to 24 hours. This includes any strong ultraviolet (UV) light exposure or tanning bed treatments.
• Avoid applying highly fragranced products to the waxed area. This includes, perfume, scented body lotions, anti-perspirants, cosmetics, or feminine hygiene sprays. Only use professional products, recommended to you by the skin care therapist who performed the waxing service
• Avoid using harsh abrasive or exfoliates in the waxed area for 3 days after treatment. If you are prone to in-grown hairs exfoliate newly waxed area with exfoliant recommended by your skin therapist 72 hours after your waxing treatment, to avoid future problems. Use a targeted treatment product that contains active ingredients to help reduce ingrown hairs. Do not hesitate to ask your skin therapist for recommendations if this is a known concern for your skin.
• Sunscreen chemicals can be irritating to the newly waxed skin. This includes self-tanning products and tan accelerators. For this reason it is our recommendation that you avoid the sun and/ or keep the freshly waxed area covered with breathable cotton clothing for the first 24 hours VS using sunscreen over area. If you cannot avoid the sun over treated area, please use a breathable mineral based sunscreen with a minimum SPF of 30.
• Any pinking of the skin should disappear within 6 to 8 hours after the waxing treatment. Slight pinking is normal, and indicates that the hair was removed from the root, rather than superficially broken off, as in shaving. This is the reason that professional waxing lasts so much longer.

Moisturize skin after waxing treatments to help replenish skin’s moisture barrier, we recommend using an organic, non comedogenic oil such as hemp seed oil, argan oil, sunflower oil, or safflower oil.

Wait at least 24 hours before having sex, swimming, or sunbathing if waxed in the bikini area.

For best results, repeat your professional waxing every 4 to 8 weeks as recommended by your skin therapist and depending upon the area and your individual hair growth rate.
If you have any questions about your waxing service or after care at home, please do not hesitate to call your
skin care therapist.

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July 13, 2022 9:22 pm EDT

Wax Hair Removal Informed Consent & Pre and Post Care Instructions Uploaded by Brandi Bovell - cfomhs@gmail.com IP 98.117.94.236, 185.93.229.2, 127.0.0.1, 184.168.224.31, 0.0.0.0, 98.117.94.236

July 29, 2022 2:05 pm EDT

Document owner cfomhs@gmail.com has handed over this document to Brandi@oldmechanicsvillehealthspa.com 2022-07-29 14:05:07 - 98.117.94.236, 185.93.229.2, 127.0.0.1, 184.168.224.31, 0.0.0.0, 98.117.94.236