Facial Treatment Consultation and Consent Form

1.Client Information
2.Medical History
Skin Health
Medical Conditions
Medications and Treatments
Lifestyle Factors
Previous Treatments
4. Treatment Goals
*The nature and purpose of the treatment.
*The potential benefits and expected outcomes.
*Possible risks, side effects, and complications.
*Pre-treatment and post-treatment care instructions.
9. Client Signature
By signing below, I acknowledge that I have read and understood all the information in this consultation and consent form. I agree to the terms herein and consent to receive the facial treatment.