Body Wax Intake Form

Cancellation Policy
Please reschedule or cancel at least 24 hours prior to your appointment or you may be charged a cancellation fee of $25.00. No Show clients will be charged the full amount of the service missed. Please call or text 765.250.7311 if you're going to be late. After 10 minute grace period, especially with out notification, appointment will be cancelled and fees may apply.
I have read and agree to the Cancellation Policy
2. Please enter contact information
3. Please enter date
4. Are you over 18?
5. Is this your first wax?
6. What are we waxing today?
7. Please list all medications you take. Certain medications interfere with the waxing process. Blood thinners, steroids, antibiotics, etc.
8. Are you using any exfoliating ingredients? Glycolic acid, Salycilic acid, Retinols, Differin, Accutane, etc?
9. Please list any illnesses or conditions you have.
10. Have you tanned in the last 48 hours?
11. Are you pregnant?
12. When is the last time you waxed, shaved, trimmed?
13. Brazilian, Bikini and French Clients. Do you experience any of these:
14. Do you exfoliate? If so, with what and how often?
15. Do you experience ingrowns?
I have read and agree to The Sphynx Waxing Studio's Cancellation Policy and have answered all questions truthfully and accurately. I know that with waxing there may be skin lifting, bruising, irritation and tenderness. I understand that if I have any concerns, I will address these with my esthetician. I give permission to my esthetician to perform the waxing procedure we have discussed and will hold her harmless from any liability that may result from this treatment. I have given an accurate account of all known allergies, illnesses, conditions, prescription drugs and/or products I am currently ingesting, using topically or have. I understand my esthetician 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 understand the procedure and accept the risks. I do not hold the esthetician 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. 
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