Joosy Beauty
General Treatment Consent & Liability Waiver
- Client Name
- Date of Birth
- Phone
- Emergency Contact
- Emergency Phone
Treatment Consent
I voluntarily consent to receive aesthetic treatments provided by Joosy Beauty and its licensed providers. These treatments may include, but are not limited to:
- Medical-grade facials
- HydraFacial
- Dermaplaning
- Chemical peels
- Microneedling
- LED light therapy
- Extractions
- Customized skincare treatments
- Other aesthetic services as discussed during my consultation
I understand that the nature of these treatments has been explained to me, including the expected benefits, possible risks, and available alternatives.
Risks
I understand that possible side effects may include:
- Temporary redness
- Swelling
- Dryness or peeling
- Mild discomfort
- Bruising
- Skin sensitivity
- Temporary acne purging
- Hyperpigmentation or hypopigmentation (rare)
- Infection (rare)
- Allergic reaction (rare)
No guarantees have been made regarding the outcome of my treatment.
Medical Disclosure
I certify that I have informed my provider of all relevant medical information, including:
- Current medications
- Allergies
- Pregnancy or breastfeeding status
- Recent cosmetic procedures
- Medical conditions
- History of cold sores
- Use of Accutane within the past 12 months
- Any skin disorders or infections
I understand that withholding medical information may increase my risk of complications.
Home Care
I agree to follow all post-treatment instructions provided by Joosy Beauty. I understand that failure to follow these instructions may affect my results and increase the risk of complications.
Photography Consent (Optional)
- I authorize Joosy Beauty to take before-and-after photographs for my confidential medical record.
- I authorize Joosy Beauty to use my photographs for educational or marketing purposes. My identity will remain confidential unless I provide additional written permission.
Financial Policy
I understand that payment is due at the time services are rendered. I understand that missed appointments or cancellations made with less than 48 hours' notice may be subject to Joosy Beauty's cancellation policy.
Release
I have had the opportunity to ask questions, and all of my questions have been answered to my satisfaction. I understand the risks and benefits of treatment and voluntarily consent to receive aesthetic services.
I certify that I am at least 18 years of age or have the consent of my parent or legal guardian.
Client Signature
Date
Provider Signature
Date