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1. Client Information: Personal details of the client including full name, contact information, and date of birth
2. Medical History: Comprehensive questionnaire about client's medical conditions, medications, allergies, and relevant health history
3. Treatment Details: Specific description of the treatment(s) to be performed, including methods and products to be used
4. Risks and Side Effects: Detailed disclosure of potential risks, side effects, and expected outcomes of the treatment
5. Contraindications: List of conditions that may prevent safe treatment or require medical clearance
6. Client Acknowledgment: Client's confirmation of understanding risks, providing accurate information, and following pre/post-care instructions
7. Emergency Contact: Details of person to contact in case of emergency
8. Consent Declaration: Formal statement of consent and liability limitations, including client signature and date
9. Practitioner Declaration: Esthetician's confirmation of explaining procedures and risks, including signature and date
1. Photographic Consent: Optional authorization for before/after photos, to be included when the treatment requires documentation
2. Special Medical Clearance: Additional section for clients with specific medical conditions requiring doctor's approval
3. Package Treatment Consent: For clients purchasing multiple treatment packages, outlining the full treatment plan
4. Patch Test Confirmation: For treatments requiring prior patch testing, documenting test results and client's reaction
5. Pregnancy Disclaimer: Additional disclaimers and considerations for pregnant or nursing clients
6. COVID-19 Screening: Temporary section for pandemic-related health screening and acknowledgment
1. Schedule A: Pre-Treatment Instructions: Detailed pre-treatment preparation requirements and restrictions
2. Schedule B: Post-Treatment Care: Comprehensive after-care instructions and recommendations
3. Schedule C: Product Ingredients List: Detailed list of products and ingredients to be used during treatment
4. Appendix 1: Treatment Price List: Current pricing for all treatments offered
5. Appendix 2: Medical Reference Guide: List of medical conditions and medications that may affect treatment
Esthetician
Client
Consent
Contraindications
Medical History
Adverse Reaction
Patch Test
Treatment Area
Pre-Treatment Instructions
Post-Treatment Care
Personal Information
Medical Emergency
Informed Consent
Treatment Plan
Side Effects
Service Provider
Treatment Records
Premises
Allergic Reaction
Skin Sensitivity
Products
Professional Services
Medical Condition
Emergency Contact
Consultation
Aftercare
Data Processing
Treatment Session
Healing Process
Confidential Information
Treatment Protocol
Safety Procedures
Medical History
Treatment Authorization
Risk Disclosure
Health and Safety
Confidentiality
Data Protection
Liability
Emergency Procedures
Client Obligations
Practitioner Obligations
Documentation
Treatment Specifications
Aftercare Requirements
Medical Disclosure
Payment Terms
Photography Rights
Record Keeping
Termination Rights
Dispute Resolution
Beauty and Wellness
Healthcare and Medical
Cosmetics
Personal Care Services
Medical Spa
Dermatology
Professional Services
Legal
Compliance
Operations
Client Services
Quality Assurance
Risk Management
Training and Development
Medical Advisory
Front Desk
Esthetician
Beauty Therapist
Spa Manager
Salon Owner
Compliance Officer
Legal Counsel
Medical Director
Risk Manager
Quality Assurance Manager
Client Relations Manager
Operations Manager
Training Coordinator
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