*Please inform us should any of the above information change.
The use of certain medications and tanning can hinder the result of your services including extreme redness, scarring, and lifted skin. Please consult your Waxologist/Laserologist if you have ANY questions or concerns about your service(s).
I authorize the Estheticians at WAXON Waxbar (“Waxologists/Laserologist”) to perform services(s) on me today and in the future. I understand that during or after waxing and laser hair removal services, I may experience irritation or adverse reactions including, without limitation, redness or scarring of the skin, which may be caused or worsened by pre-existing medical conditions and/or medical treatments I am undergoing. I agree to notify WAXON Waxbar of any pre-existing or future medical conditions that may arise prior to receiving waxing or laser service(s). I acknowledge and understand that Waxologists are not health care practitioners and cannot, and do not claim to, diagnose or give advice on any medical condition(s) of the skin or otherwise. I agree to seek immediate medical attention and advice from a qualified medical practitioner should any irritation or adverse reaction occur as a result of service(s). I hereby release, remise and forever discharge WAXON Waxbar and its owners, employees, successors and assigns, of and from any and all claims, liabilities, demands, actions and causes of actions relating to any loss, damage or injury that may be sustained by me or property belonging to me, whether caused by negligence or otherwise, while receiving service(s) or while on the WAXON Waxbar premises. The release shall bind my heirs, executors, administrators, agents, successors and assigns and shall apply to any service(s) I receive at WAXON Waxbar today and in the future.
LASER HAIR REMOVAL DISCLAIMER
All personnel in the treatment room, including me, must wear protective eyewear to prevent eye damage from this light energy. The treated area may be red and swollen for two to twenty-four (2–24) hours or longer. Cooling the area after the treatment (for example, ice packs, topical gels) may help reduce discomfort and swelling. Common side effects include temporary redness (erythema) or mild "sunburn"-like effect that may last a few hours to 3-4 days or longer. Other potential side effects include, but are not limited to, crusting, irritation, peeling, bruising, redness, ingrown hairs, itching, pain, burns, scabbing, swelling (edema), broken capillaries, bronzing, and acne or herpetic breakouts. There also is a risk of unsatisfactory appearance and failure to achieve the desired result. Pigment changes, including hypopigmentation (lightening of the skin) or hyperpigmentation (darkening of the skin), lasting one to six (1-6) months or longer or permanently may occur. Freckles may temporarily or permanently lighten or disappear in treated areas. Lightening or darkening of vascular lesions may occur. Serious complications are rare but possible, such as scarring, blood clots, skin loss, hematomas (collection of blood under the skin), and allergic reaction to medications or materials used during the procedure. There is a chance of additional side effects like blanching and significant redness. There is no guarantee that the expected or anticipated results will be achieved. Sun, tanning bed, or tanning lamp exposure, the use of self-tanning creams, and not adhering to the post-treatment instructions provided to me may increase my chance of complications. I must avoid the sun, tanning beds, and sunless tanning lotions and use sunblock (SPF 45 recommended) after treatment. There is a possibility of coincidental hair removal when treating pigmented or vascular lesions in hair-bearing areas. There is a risk that the hair regrowth may be changed, such as little or no regrowth or more regrowth than before. There is a high risk of paradoxical hair growth in people of Middle Eastern and Mediterranean descent and those who have an ill-defined hairline with no obvious transition of the hairline to the face. I should call my provider as soon as possible if I have any concerns about side effects or complications after treatment. Not providing my medical history before proceeding with a light-based treatment could impact treatment results and cause complications.