Please fill out COVID-19 Form prior to your appointment.

COVID-19 Information & Liability Waiver

COVID-19 is a highly contagious virus that spreads from person to person. In addition to long-held and explicit sanitation measures this business has always adhered to, new preventative measures have been put in place to further reduce the spread of this novel coronavirus. However, these best practices still offer no guarantee regarding your potential risk of being infected.

If you are experiencing a fever, cough, or sore throat, fatigues, chills, diarrhea, muscle aches, changes of taste or smell, shortness of breath, chest pains, have been to a COVID-19 impacted area or have been in close contact with a person infected with COVID-19, we ask that you please reschedule your appointment for 14 days past the date of contact or until you are asymptomatic. We will be happy to work with you to schedule another appointment as soon as you are ready to come back.

Consent for Treatment - I understand that, because electrolysis and esthetics involves maintained touch and close physical proximity over an extended period of time, there may be an elevated risk of disease transmission, including COVID-19. By signing this form, I acknowledge that I am aware of the risks involved from receiving treatment at this time, I voluntarily agree to assume those risks, and I release and hold harmless the practitioner/business from any claims related thereto. I give my consent to receive treatment from this practitioner. Please print your name to sign.