Threading Consent Form

Threading uses a thin piece of cotton that moves quickly across the skin removing the hair from the root and there is a possibility of some side affects such as redness, superficial grazing and small spots.

To limit the possibility of such side effects please answer the questions below.

Are you on any medication that may thin the skin? (i.e. steriod creams, HRT or Antibiotics)

YES

Do you have sensitive skin, eczema or dermatitis?

YES

Are you using any skin resurfacing/glycolic/acid facial products or had any treatments involving these?

YES

Are you having a facial within the next 12 hours?

YES

Are you having a Medik8 facial within the next 24 hours?

YES

Have you experienced skin grazing or bruising with any hair removal treatment before?

YES

CONSENT:
I have answered the questions to the best of my knowledge.
I knowledge the possible side effects of the threading procedure
I hereby authorise the fully trained therapist to perform threading upon me.

Full name *

Date *

Signature *