Welcome, and thank you.

General Facial Consent

I understand that skincare treatments including facials, exfoliation, extractions, and mask application may result in temporary redness, sensitivity, irritation, breakouts (purging), or mild discomfort. I understand that results vary by individual and are not guaranteed.

Chemical Peel Consent

I understand that chemical peel treatments use professional-grade acids (AHA, BHA, and/or botanical blends) and may result in: redness, stinging or warming sensation during treatment, skin peeling or flaking for 3–7 days, temporary sun sensitivity, temporary pigmentation changes (lightening or darkening), and in rare cases, scarring or infection.

I understand that I must avoid direct sun exposure and use SPF 30+ daily following treatment. I understand that I must disclose use of retinoids, Accutane (isotretinoin), or any prescription skin treatments, as these may be contraindicated. I understand this treatment is NOT suitable during pregnancy or breastfeeding.

Microcurrent / Device Consent

I understand that device-assisted treatments including microcurrent lifting and infusion technology use low-level electrical currents and/or pressure-based delivery systems. These treatments are contraindicated for individuals with pacemakers, implanted defibrillators, epilepsy, active cancer, pregnancy, or metal implants in the treatment area. I understand I must disclose any of these conditions.

LED Light Therapy Consent

I understand that LED light therapy uses specific wavelengths of light (red, blue, and/or near-infrared) to stimulate cellular activity. Protective eyewear will be provided and must be worn during treatment. LED therapy is contraindicated for individuals currently taking photosensitizing medications, those with a history of light-triggered seizures, and during pregnancy. Side effects are rare but may include temporary warmth or redness.

Dermaplaning Consent

I understand that dermaplaning uses a sterile surgical blade to remove dead skin cells and fine facial hair (vellus hair). Temporary redness and sensitivity are common. This treatment is not recommended for active acne, inflamed skin, or if I am currently using isotretinoin (Accutane). I understand that hair will grow back at its normal rate and texture.

Waxing Consent

I understand that facial waxing may result in temporary redness, irritation, bumps, or in rare cases, bruising, burns, or ingrown hairs. Waxing should not be performed on skin that has been treated with retinoids, chemical peels, or Accutane within the past 7–14 days, or on sunburned, broken, or irritated skin.

Cancellation & Deposit Policy

Beautywell Esthetics requires a 50% deposit at the time of booking. Deposits are non-refundable if cancelled within 48 hours of the appointment. No-shows will forfeit the full deposit. Late arrivals may result in a shortened treatment to respect subsequent bookings.

Liability Release & Hold Harmless

I confirm that I have accurately and completely disclosed all relevant medical history, medications, allergies, and skin conditions on this form. I understand that withholding or providing inaccurate information may result in adverse reactions for which Beautywell Esthetics cannot be held responsible.

I voluntarily consent to the skincare treatment(s) selected during my appointment. I understand that all treatments carry inherent risks, including but not limited to redness, irritation, allergic reaction, pigmentation changes, breakouts, and in rare cases, scarring or infection.

I release and hold harmless Beautywell Esthetics, its owner, and its staff from any and all liability, claims, or damages arising from treatments performed, except in cases of gross negligence.

I understand that results are not guaranteed and may vary based on individual skin type, condition, lifestyle, and adherence to post-care instructions.

Photo & Video Release (optional)

I grant Beautywell Esthetics permission to take before-and-after photographs of my treatment results for use in marketing materials, social media, and the studio portfolio. My full name will not be used without additional written consent. I understand I may revoke this permission at any time.

Confidentiality

I understand that all personal and medical information provided in this form will be kept strictly confidential and will not be shared with third parties except as required by law.