Alem Spa Consent Form

I Agree with and Consent:

If I experience any pain or discomfort during the session, I will immediately inform the esthetician so that the products and/or technique may be adjusted to my level of comfort.
I further understand that facial should not be construed as a substitute for medical examination, diagnosis, or treatment.
I understand that estheticians are not qualified to perform, diagnose, prescribe, or treat any physical or mental illness, and that nothing said in the course of the session given should be construed as such.
I understand that any illicit or sexually suggestive remarks or advances made by me will result in immediate termination of the session.
The services offered are not substitute for medical care, and any information provided by the therapist is for educational purposes only and not diagnostically prescriptive in future.

Please fill out and sign the form below to confirm your consent:

Please enter your first name
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Please enter your lastname.
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Please provide your phone number.
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Are you pregnant?
Do you have any allergies to cosmetics, food or drug?
What skin care products do you currently use?