CLIENT FORM

 

Minor Consent Form

Minors under the age of 18 may receive esthetic services by a licensed esthetician at Indigo Blue Wax and Skin. The minor must have a parent/ legal guardian present during service time.

By agreeing I authorize Indigo Blue Wax and Skin to provide esthetic services for my child or dependent. I have completed an intake form and have disclosed all medical conditions. I authorize my child or dependent to be in the treatment room alone with his/her licensed esthetician. Parent/ legal guardian are welcomed to be present in the treatment room or waiting area during appointment time.

HIGH FREquency consent Form

High Frequency is a treatment that is oxygenating, eliminates toxins and bacteria, reduces inflammation, helps with acne, dark circles, product penetration, shrinks pores, increases cell renewal, collagen/ elastin, firm, tones, and helps decrease lines/wrinkles! This treatment is considered to be safe, gentle and therapeutic approach to quickly heal and restore your skin’s health. It is common to feel a slight itch or warmth during service.

Listed are contraindications and for your safety. If any apply

you CAN NOT receive this treatment.

  • Pregnant

  • Pace Maker

  • Epilepsy

  • High Blood Pressure

  • Open Cuts

  • Diabetic

  • Metal Implants

LASH AND BROW Consent Form

  •  The benefits of the service

  • The nature of the service and how the services will be performed

  • The types of materials and products used during the service.

  • The most frequently occurring risks of the service, and those risks which are unlikely to occur but which may involve serious consequences, including but not limited to the risk of experiencing. (a) Blepharitis and its associated symptoms, (b) an allergic reaction to the perming cream (lift) tint or henna, (c) Traction Alopecia and its associated symptoms, (d) an eye injury due to perming cream, tint, or henna falling on or into the eye; and (e) an eye or other injury occurring during or thereafter the Service;

  • How to properly care for my eyelashes that were permed or tinted and how often I should expect to need to repeat the service and the best methods for caring for my eyelashes and or eyebrows.

  • I was given the opportunity to ask the service provider any questions i have regarding the service and I have had those questions answered to my satisfaction. Based on the foregoing,I hereby assume all of the risks associated with the service.

COVID-19 Consent Form

I understand that, because esthetics involves maintained touch and close physical proximity over an extended period of time, there may be an elevated risk of disease transmission, including COVID-19. By signing this form, I acknowledge that I am aware of the risk involved and give consent to receive skincare, eyelash, or teeth whitening services from my esthetician.