I understand that if I have any skin concerns, I will address these with my skin care therapist. I give permission to my skin care therapist to perform the procedure we have discussed and will hold him/her and his/her company harmless from any liability that may result from this treatment. I have accurately answered the questions above including all known allergies, prescription drugs, conditions or products I am currently ingesting or using topically. I understand my skin care therapist will take every precaution to minimize or eliminate negative reactions as much as possible. In the event I may have additional questions or concerns regarding my treatment, I will consult the skin care therapist immediately.