I agree that this form supersedes any previous verbal or written disclosures. I understand that withholding information or providing misinformation may result in contraindications and/or irritation to the skin/nails from treatments received. The treatments I receive here are voluntary and I release this institution and/or professional from liability and assume full responsibility thereof.
I have voluntarily elected to undergo this treatment/procedure/service after the nature and purpose of this treatment has been explained to me, along with the risks and hazards involved, by Line spa and polish Technician. Although it is impossible to list every potential risk and complication, I have been informed of possible benefits, risks, and complications. I also recognize there are no guaranteed results and that independent results are dependent upon age, skin condition, and lifestyle and that there is the possibility I may require further treatments of the treated areas to obtain the expected results at an additional cost. I understand to agree to the post-treatment home care instructions. I understand how important it is to follow all instructions given to me for post-treatment care. In the event that I may have additional questions or concerns regarding my treatment or suggested home product/post-treatment care, I will consult Line spa and polish Technician immediately. I have also, to the best of my knowledge, given an accurate account of my medical history, including all known allergies or prescription drugs or products I am currently ingesting or using topically.
Should I receive a Nail Service: I understand that Line spa and polish Technician will be grooming my nails, applying appropriate massage creams, lotions and nail polishes for the desired nail service. Should the service become uncomfortable in any way I agree to make my technician fully aware should she need to make any adjustments during the service.
I have read the above information. I am over the age of 18 years old. I give permission to my Line spa and polish Technician to perform the treatment we have discussed and will hold him/her and his/ her staff harmless from any liability that may result from this treatment. I understand the procedure and accept the risks. I have chosen to proceed with the treatment after careful consideration of the possibility of both known and unknown risks, complications, and limitations.
I agree that this constitutes full disclosure, and that it supersedes any previous verbal or written disclosures. I certify that I have read, and fully understand, the above paragraphs and that I have had sufficient opportunity for discussion to have any questions answered. I do not hold Line spa and polish Technician, responsible for any of my conditions that were present, but not disclosed at the time of this procedure that may be affected by the treatment performed today. I understand that this agreement will remain in effect for this procedure and all future procedures conducted by my Line spa and polish Technician.
CHANGING YOUR APPOINTMENT
A minimum of 24 hours notice is required to reschedule or cancel a booked appointment without penalty.
CANCELLATION + NO SHOWS
As a courtesy, appointment reminders are sent out 48 hours prior to scheduled appointments either by text, email or both. If an appointment is cancelled within 24 hours of your appointment, you will be charged 100% of your service as a cancellation fee. If you do not show up, you will be charged 100% of your service as a cancellation fee.
SICKNESS OR FAMILY EMERGENCY
If you, or another person in your household, has an infectious or contagious illness, please contact us as soon as possible to reschedule your appointment for a later date. For your safety and that of staff and other clients, please do not come to your appointment sick. A one-time allowance of last minute cancellation or reschedule will be permitted for sickness or family emergency. After that, the cancellation and no show policy will be in effect.
