A Full Spectrum Day Spa!
What areas of concern do you have regarding your skin? (Check all that apply)
*When you go out into the sun, do you:
Do you currently use any of the products listed below? (Check all that apply)
By signing this form, the client agrees to the following: I understand, have read, and completed this intake form truthfully and agree to inform the technician of any changes in the above information. I agree that this constitutes full disclosure, and that it supersedes any previous verbal or written disclosures. I understand that withholding information or providing misinformation may result in contraindications and/or irritation to the skin from treatments received. The treatments I receive here are voluntary and I release this institution and/or skin care professional from liability and assume full responsibility thereof.