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Sugar Cookie Wax, LLC

Adult Consent to Treatment

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I agree to undergo the waxing/sugaring procedure identified in the Client Consult form dated on this same date.

 

I acknowledge I have had the details and nature of the treatment along with common risks and hazards involved explained to me by a qualified esthetician based on medical information I provided. I certify, I have, to the best of my knowledge, given an accurate account of the my medical history, including all known allergies or prescription drugs or products I have taken orally, topically, or otherwise for the last 8 weeks (12 months for Accutane and its derivatives).

 

I understand Sugar Cookie Wax, LLC's Estheticians are licensed professionals who specialize in skincare treatments, focusing on cosmetic and aesthetic enhancements and do not provide medical diagnoses, treatments, or advice.


I agree any consultation or procedure performed is for the purpose of providing general information and guidance on hair removal service and shall not be substituted for medical advice.

 

I acknowledge and agree it is impossible to list every potential outcome or adverse event, and I have been counseled by a licensed Sugar Cookie Wax Esthetician and informed of the common benefits, risks, and complications that may occur. I understand there are no guarantees. I comprehend results are dependent upon a multitude of factors including but not limited to the Minor's individual skin and hair type, identified lifestyle factors, and other conditions and neither the esthetician’s advice nor service are meant to diagnose or treat a disease or skin condition.

 

I understand I should always consult with a medical doctor for any medical concerns. I acknowledge that I am solely responsible for any decisions regarding my health and well-being, and adverse events are not always predictable. I acknowledge there is a possibility I may require further treatments to obtain the desired results at an additional cost.


By signing below, I also acknowledge I have read and understand the Intimate Care Policy and Zero-Tolerance Policy and agree to accept them, act in a professional  manner, and always maintain a professional relationship with Sugar Cookie Wax estheticians.

 

I acknowledge and consent that waxing and sugaring require  touch to body parts and depending on the service may include intimate body touch access and that to perform treatment I may be asked to remove clothing, and that the esthetician may move and position my body in ways to allow them to  access treatment areas. I acknowledge and agree I may be asked to assist  by holding my skin taut or lifting an area to help them access it better.


I agree if I want to discontinue the treatment for any reason will alert the esthetician and allow any remaining product to be removed acknowledging that the same risks and benefits discussed at the beginning of the treatment still apply.

 

I have read, understand, and agree to follow the post-treatment aftercare instructions. I accept failure to adhere to these instructions may cause adverse events and affect the results of my procedure. I agree to promptly contact Sugar Cookie Wax or my personal physician should any concerns arise after treatment. I certify I have had sufficient opportunity for discussion with the esthetician to have any questions or concerns answered.

 

I acknowledge Sugar Cookie Wax, LLC and its founders, officers, and employees reserve the right to change recommendation of products and/or services upon in person physical exam and review of client intake information, up to and including refusing service if contraindications are

identified.

 

I agree Sugar Cookie Wax, LLC and its founders, officers, and employees reserve the right to change recommendation of products and/or services upon in person physical exam and review of client intake information, up to and including refusing service if contraindications are identified. I understand I should always consult with a medical doctor for any medical concerns related to my skin. I acknowledge that I am solely responsible for any decisions regarding my health and well-being, and adverse events are not always predictable.

 

I agree to release Sugar Cookie Wax, LLC, its members, founders, officers, employees, heirs and assigns and hold them harmless from any and all liability that may result from this treatment, including but not limited to disability or personal injury arising from the advice, treatment, table accommodation, or for any outcomes or consequences resulting from the above.

 

I have read, understand, and agree to the information detailed above and give my consent to treatment includng intimate services treament if applicable.

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Sugar Cookie Wax, LLC

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Your Skin Deserves a Treat!

11340 W Bell Road 

Phenix Salon Suites

Bldg 100, Ste. A124

Surprise, AZ 85378

P: 1+(480)810-5678

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Sugar Cookie Wax , The Sugar Cookie Wax Logo, Your Skin Deserves a Treat!, Be You, Be Smooth, Be Spectacular!, and Be You, Be Smooth, Be Sensational!, are service marks and trademarks of Sugar Cookie Wax, LLC. All Rights Reserved.

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