The client consent to service and health history form is required to be filled out before your service time.

It is required once a year, or if there is any changes in your medical history. 

Consent to Service and Health History Form

Please fill out the following form
before your appointment time.

Do you have any medical health conditions?
Do you have any medical conditions or known allergies?
Are you taking any medications?

I understand that the services given to me are done by a licensed professional. I could experience moderate degrees of redness, burning, peeling, itching, and downtime... etc., especially in the initial stages of the treatment program. These symptoms are normal and will eventually subside as my skin builds tolerance. I understand that it is necessary to maintain the use of skin care over the long term in order to retain the benefits obtained in the early weeks of the program. Because these services should not be performed under certain medical conditions, I affirm that I have stated all my known medical conditions and answered all questions asked of me honestly. I agree to keep my provider updated as to any changes in my medical profile and I understand that there shall be no liability on them should I fail to do so. Further, I understand I am paying for a treatment and not a result and that there will be no returns, refunds or exchanges for the product given. Further, I understand that Spa bliss reserves the right to administer services at their sole discretion. I understand that Spa bliss does have policies regarding cancellations and no-showing appointments, and that I may be charged if I do not abide by these policies that I have agreed to. I understand that my card is saved on file, and that it will be charged if I do not abide by these policies. I have read and fully understand this form in entirety. If at any time there are changes in the information I have given, or in my condition, I will notify Spa bliss and update this form before receiving additional treatments.

Thanks for submitting!

Minor Consent