Contact Form Beautifying Medi Spa

Date

Birthday

First Name

Last Name

Phone number

Medications, list them here:

If ‘Other’, please detail:

Do you have any known allergies?

Yes No

List Allergies here

List any previous Treatments

Beautifying Medi Spa General Treatment Consent and Liability Waiver

Beautifying Medi Spa General Treatment Consent and Liability Waiver This consent form applies to all treatments and procedures performed at Beautifying Medi Spa, including but not limited to facials, chemical peels, microdermabrasion, LED therapy, scalp treatments, and other agreed-upon services. By signing this form, I acknowledge and agree to the following: I have been informed of the nature, benefits, risks, and potential complications of treatments. I understand there are no guaranteed results, as outcomes depend on individual factors such as age, skin condition, and lifestyle. I agree to follow all post-treatment aftercare instructions provided to me and understand the consequences of failing to adhere to these instructions. I have provided an accurate account of my medical history, including all known allergies and medications, and will update Beautifying Medi Spa with any changes prior to future treatments. I release Beautifying Medi Spa and its staff from any and all liability associated with treatments. This consent remains valid for all treatments and services provided by Beautifying Medi Spa unless updated by the client or revoked in writing. Please check the circle and sign below to confirm your understanding: I have read and understand this agreement and all the information detailed above. I understand the procedure and accept the risks. I do not hold the estheticians or anyone working at Beautifying Medi Spa responsible for any of my conditions that were present but not disclosed at the time of this skin care procedure, which may be affected by treatment performed today.

First Name

Last Name

Date you sign Treatment and Liability Waiver

Photo & video release Form

Photo, Video, and Audio Release Agreement I, the undersigned, at this moment, grant permission to Beautifying Medi Spa to capture, record, and use any audio recording, photos, or videos, of me taken during or in connection with my visit or treatments for lawful promotional purposes. These materials may be used in formats including but not limited to brochures, flyers, newsletters, posters, advertisements, press kits, websites, social media pages, and other print or digital communications. Terms of Use Authorization of Use This authorization extends to all languages, formats, and media now known or hereafter devised and shall continue indefinitely. I understand that these materials may be used globally, without geographic limitation, for educational, promotional, and marketing purposes. Waiver of Royalties and Compensation I waive all claims to royalties, monetary compensation, or other forms of payment related to the use of these materials. I acknowledge that these materials shall become the sole property of Beautifying Medi Spa and will not be returned. Release of Liability I, on behalf of myself, my heirs, executors, representatives, administrators, and, or any other persons acting on my behalf or my estate, hereby release and discharge Beautifying Medi Spa from any claims, demands, or liabilities related to the use of these materials, including claims of defamation, invasion of privacy, or rights of publicity. Understanding and Agreement I affirm that I have fully read and understood this release agreement. I confirm that I am entering into this agreement voluntarily, without duress or coercion, and with a complete understanding of its terms. By signing below, I acknowledge my consent to the terms outlined above.

First Name Name

Last Name

Date you sign Photo, Video, and Audio Release Agreement Form

Lifestyle

Sedentary Active