By Appointment only

No quickies here-smoothness is by appointment only!

Call or text to book your sessions (209) 612-9228

Forfin Wellness-Waxing Consent/Intake Form

Your safety and comfort are our priority. Please complete this form honestly and thoroughly. Certain conditions may prevent us from safely providing waxing services. Possible request of Doctors Approval letter in order to move forward with waxing services if technician feels uncertain of any questionable/possible health concerns visually or shared with by client.

All information is kept confidential.

First name

Last name

Birthday

Month

Day

Year

Phone*

Check all that apply:

Retinoids(Retin-A, Differin, Tazorac, etc).

Accutane(isotretinoin) within the past 12 months.

Antibiotics/Blood thinning medications.

Recent chemical peel, microdermabrasion, or laser treatment.

Active skin infections(Herpes, Bacterial, Fungal, etc.

Open wounds, cuts, burns ,sores, or sunburn.

Have Eczema, Psoriasis, or dermatitis in the treatment area.

Pregnant (please notify technician).

Diabetic or history of poor wound healing.

History of keloid scarring.

Other:(Please Specify Down Below).

Other:

Consent & Acknowledgment

I understand that waxing may cause temporary discomfort, redness, irritation, bumps, or skin sensitivity. I have disclosed all medical conditions, medication and skin conditions/ concerns to my technician. i release Forfin Wellness and my waxing professional from any liability related to undisclosed health information or unforeseen reactions.

Client Signature:*

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Lovely W.a.y.s Waxing

(209) 612-9228

Lovelywayswaxing99@gmail.com

Instagram-Lovely_w.a.y.s._waxing

955 w center st

Manteca Ca 95337

Accessibility Statement

Terms & Conditions

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