Eyebrow Wax Consultation and Consent Form

Client Details


Medical Information


General Information


Female Clients Only

Always allow five days for menstrual cycle. Because of water retention and for your own personal comfort, you should avoid hair removal two days before your cycle is due and two days after it is completed.


Aftercare Advice

No extreme heat treatments (e.g. very hot baths or showers, saunas, steam rooms), swimming, sunbathing (including sun beds or any other exposure to UV light) for 24 hours. Try and avoid exercise or anything that makes you sweat for 24 hours.

Do not apply any perfumed products to the area for 24 hours.

Wash your hands before scratching or touching the area.

Avoid the use of make-up on the waxed area for 24 hours, apart from mineral make-up or specialist post-treatment products.

No self-tanning products to the area for 24 hours.

Do not pluck or tweeze in-between appointments particularly in areas where your therapist has advised re-growth.

Important Note: Self-tanning products may alter brow color, so we recommend using these with caution on your face in between treatments.

Please inform us immediately if you experience any problems after your treatment, including prolonged swelling, an itchy rash, bruising, or any kind of skin grazing, cuts or tearing so that we can advise the correct treatment. In the unlikely event that your skin does not return to normal within 24 hours of your treatment, seek advice from your practitioner in case you have had an allergic reaction to the wax or in case an infection is developing.


Consent

Please read the following information carefully.

Please note that waxing does have certain side effects; such as skin removal, redness, swelling, tenderness, etc.
I have read the above information and if I have any concerns, I will address these with my therapist.
I give permission to my therapist to perform the waxing procedure we have discussed and I will hold them and their 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 therapist will take every precaution to minimize or eliminate negative reactions as much as possible.
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 statements and that I have had sufficient opportunity for discussion to have any questions answered.
I understand the procedure and accept the risks.
I will not hold the therapist responsible for any of my conditions that were present, but not disclosed, which may be affected by the treatment performed.
 


Tap or click on the signature above to sign


Appointment Guidance

If you have tested positive for COVID-19, or have any symptoms of COVID-19 (see below) please do not attend your appointment. Please contact us as soon as you know you will be unable to attend so we can reschedule.

COVID-19 Symptoms:

  • a high temperature or shivering (chills) – a high temperature means you feel hot to touch on your chest or back (you do not need to measure your temperature)
  • a new, continuous cough – this means coughing a lot for more than an hour, or 3 or more coughing episodes in 24 hours
  • a loss or change to your sense of smell or taste
  • shortness of breath
  • feeling tired or exhausted
  • an aching body
  • a headache
  • a sore throat
  • a blocked or runny nose
  • loss of appetite
  • diarrhoea
  • feeling sick or being sick
SUBMIT

(disabled)