Skin Care Questionnaire

I understand that Dermagal Esthetics & Spa services, including facials and body treatments, are for the sole purpose of skin cleansing, body and mind relaxation, and rejuvenation.

I understand that it is imperative to tell my Esthetician about any oral or topical medications prior to any facial, waxing, or body treatment services.

I understand that Dermagal Esthetics & Spa and staff do not diagnose illness, disease, or any other physical or mental disorder. I accept full responsibility for the use of Dermagal Esthetics & Spa at my own risk, and agree not to hold Dermagal Esthetics & Spa or staff liable for any loss, damage, or injury.

I understand that results are personal and not guaranteed.

I confirm that to the best of my knowledge, the answers given on this client consultation form are correct and that I have not withheld any information that may be relevant to my treatment at Dermagal Esthetics & Spa.

I understand that I must provide at least 24 hours' advance notice for the cancellation of an appointment.

I understand Dermagal Esthetics & Spa has a strict 24-hour cancellation policy. In the event of a late cancellation or no-show, the fee is 50% of the service. An invoice will be sent via Square. If we are able to replace the appointment with a client on the wait list, we are happy to waive the fee.

I understand there are risks associated with skin care treatments, such as redness, sensitivity, peeling, and inflammation. Any additional concerns I will discuss with my practitioner.