The Esthetic Institute

INFORMED CLIENT INTAKE & TREATMENT

CONSENT FORM FOR ALL SERVICES

  Please complete all questions below prior to arrival and submit. This is necessary for your service and we are using the electronic option in an effort to be as contactless as possible during this COVID era.

Your technician will have a copy of this form to review with you.

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By Clicking Submit at the bottom of this form, I understand that the services are not a substitute for medical care, and any information provided by the therapist is for educational purposes only and not diagnostically prescriptive in nature. I understand that the information herein is to aid the therapist in providing better service and is completely confidential. I hereby give my consent and authorization, and voluntarily release the Esthetic Institute, from claims or stated that I have, or may have in the future, with this treatment, regardless of the result. I am stating that the treatment and precautions above have been explained to me in detail and that I fully understand I have been given the opportunity to ask any questions and have been truthful with all information I have provided. I understand that the Esthetic Institute is an educational institution and that the Esthetic Institute has no liability for the work performed by students. I understand that all services are provided by Esthetic Institute students. I take full responsibility for any of the services that I am receiving today and their circumstances and contraindications. I fully understand and agree to the above school policies. Submission of this email serves as my digital signature.

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