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Service Consent Form

Esthetician Services Consent Form - Nue Image Beauty Salon & Barber

Service Booked

Select the service you that you

Health Information

Please answer these questions to the best of your knowledge

Do you have any of the following conditions? (Please check all that apply)

Treatment Risks

I understand that while esthetician treatments may provide benefits, there are certain risks involved, including:

  • Redness, swelling, or sensitivity

  • Allergic reactions to products used

  • Infection

  • Scarring

Consent

By signing below, I consent to the esthetician services provided. I understand that I can ask questions regarding the procedures and their risks. I also affirm that all information provided above is accurate to the best of my knowledge.

Emergency Contact

Thank you for choosing our esthetician services! We look forward to helping you achieve your skincare goals.

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