Skin Treatment Consent Form

Client Details


I accept that any treatment I am going to receive is at my own risk.

I certify that I have read and fully understood and completed this form to the best of my knowledge.

I understand that failure to disclose information requested above may result in adverse side effect(s) and therefore I accept full liability/responsibility for the information given.

The treatment(s) and possible side effect(s) have been fully explained to me.

I accept full responsibility for the treatment given and complications which may arise or result during or following any procedure that is performed at my request.

I accept that if I am not satisfied with the treatment I will inform the practitioner/physician and/or request to speak to the manager during or immediately following the treatment.

I fully understand the above and consent to the treatment.

Tap or click on the signature above to sign

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