Updated Client Health Form

By providing my name below, I confirm that the information recorded above is complete and accurate to the best of my
knowledge. I understand that skincare & bodywork therapy is not a replacement for prescribed medical treatment and that
the practitioner may only perform treatments within his or her scope of practice and level of comfort. Anything said during
this session shall not be regarded as medical advice, medical treatment, medical diagnosis, or medical prescription. I
understand that the practitioner may refuse service at any time for any reason and that certain medical issues may
contraindicate some services and will be referred to a medical professional. I understand that it is my responsibility to
inform the practitioner of any changes to my medical profile, skincare routine, or wellness rituals and that the practitioner
will not be held liable for anything resulting from my failure to do so. I have disclosed all serious medical conditions and
drug use. I am encouraged to communicate all treatments with my primary MD. I have been given sufficient opportunity to
ask questions and make specific requests in order to make my treatment time as comfortable as possible. I have also
read and will abide by all policies and client expectations listed separately from this document.

Updated Client Health Form

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