Let's get the basics down so we can care for you personally.
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Help us understand your skin so we can customize every step of your experience.
Your safety and comfort are our highest priority. Please be as thorough as possible here.
Understanding what you're already doing helps us build on it, not start over.
Your skin reflects everything happening inside and out. These details matter more than you might think.
Please read carefully before signing.
Treatment Consent: I voluntarily consent to receive esthetic services provided by Double Cleanse Skin in Goodyear, Arizona. I understand that these services are performed by a licensed esthetician and are not a substitute for medical advice, diagnosis, or treatment. I agree to inform my esthetician of any changes to my health or medications prior to each visit.
Accuracy of Information: I confirm that the information I have provided on this intake form is accurate and complete to the best of my knowledge. I understand that withholding or misrepresenting health information may affect the safety and outcome of my treatment. I agree to update my intake information if my health status changes.
Possible Reactions: I acknowledge that esthetic treatments may occasionally result in temporary reactions including, but not limited to, redness, dryness, mild irritation, breakouts, or heightened sensitivity. I understand that Double Cleanse Skin will take every precaution to minimize adverse reactions, and I agree to inform my esthetician immediately of any discomfort during treatment.
Release of Liability: I release Double Cleanse Skin and its owner, employees, and agents from any and all liability for adverse reactions, injuries, or outcomes that result from undisclosed health conditions, medications, or allergies, or from my failure to follow pre- and post-care instructions provided by my esthetician.
Pre & Post-Care: I agree to follow all pre- and post-care instructions provided by my esthetician to achieve the best possible results and reduce the risk of complications.
Cancellation Policy: I understand that a minimum of 24 hours' notice is required for cancellations or rescheduling. Late cancellations or no-shows may be subject to a fee.
Electronic Signature: By typing my full name below, I confirm that I have read, understood, and agree to all terms stated in this consent and liability waiver. I acknowledge that this electronic signature carries the same legal weight as a handwritten signature.
Before and after photos help us track your skin's transformation over time.
We never spam. Only skin education, exclusive offers, and appointment reminders.
Skin tips, seasonal education, new service announcements, and exclusive client offers.
Appointment reminders, last-minute openings, and occasional special offers. Message & data rates may apply.
Thank you for taking the time to complete your intake form. We've received everything we need to make your first experience at Double Cleanse Skin truly personal.
We cannot wait to welcome you. See you soon.
Double Cleanse Skin · Goodyear, Arizona