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Please complete the following forms prior to your appointment.
INFORMED CONSENT FOR TREATMENT

Please complete and submit this form to be prompted to schedule your service. 

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PRECAUTIONS (Please read carefully):

Your participation in your skincare treatments will determine the outcome. It is important that you strictly adhere to your home care regimen that your aesthetician has recommended. 

No guarantee is expressed or implied as to the precise results, peeling times, or discomfort. 

During the treatment, you may experience some tightening of the skin, which may last for several days. 

For most patients, flaking begins within 48 hours. It is impossible to pre-determine how much peeling will occur. The shedding process usually subsides within 5-7 days. 

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Depending on the treatment performed and your skin quality, the following reactions may occur in some patients: 

  1. Prolonged redness, irritation & flakiness

  2. Dryness & sensitivity

  3. Severe allergic reactions in rare instances 

Please select all that apply:
Skin Conditons (Please select all that apply):
Informed Consent Form
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Phone: (248) 825-1292

Location: Metro Detroit Area

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