"No Touch" Consent Form

If time Allows, I am interested in Adding the Following Service to my Treatment at a Discounted Rate: *

Lip Wax Chin Wax Relaxations Station Massage Foot Massage Treatment Optic Elite Facial Analysis & Consultation I am an Oasis Wellness Member, I get most of these items for FREE (please select what you would like to add) None of the Above

I have voluntarily elected to undergo this treatment/service after the nature and purpose of this treatment was explained to me, along with the risks and hazards involved, by Oasis Skin and Wellness Center, Inc. Although listing every potential risk and/or complication is impossible, I have been informed of possible benefits, risks, and complications. I also recognize there are no guaranteed results and that independent results are dependent upon age, skin condition, and lifestyle. There is a possibility that I may require further treatments of the treated areas to obtain the expected results at an additional cost. To the best of my knowledge, I have also given an accurate account of my medical history, including all known allergies, prescription drugs, or products I am currently ingesting or using topically. I have read and fully understand this agreement and all information detailed above. I understand the procedure and accept the risks. All of my questions have been answered to my satisfaction, and I consent to the terms of this agreement. I do not hold the practitioner, whose signature appears below, responsible for any of my conditions that were present but did not disclose at the time of the procedure, which may be affected by the treatment performed today.

Service PREFERENCES

Informed Consent

Consent For Treatment