Waxing Consent Form

Information you will need

• What’s the client’s city?
• Has the client used any AHA or glycolic products in the last 48 72 hours?
• Is the client taking Retin a, Renova, or Accutane?
• Is the client taking skin thinning products or drugs?
• Does the client have frequent sun exposure or intend to increase their exposure?
• Does the client use a tanning bed?
• Has the client ever received cancer treatment?
• Is the client diabetic?
• Is the client menstruating or about to begin menstruation?
• What medications is the client taking?
• What’s the company's name?
• What’s the client’s name?
• What’s the client’s street address?
• What’s the client’s state?
• What’s the client’s ZIP code?
• What’s the client’s phone number?
• What’s the client’s email address?
• What’s the client’s date of birth?
• What skin products does the client use?
• What illnesses or conditions is the client currently being treated for?
• What’s the name of the parent or guardian? (if applicable)

The form includes 2 signature lines.