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By signing below, you agree to the following:
I have completed this form to the best of my ability and knowledge and agree to inform my esthetician of any changes to the information listed o all the pages of this client intake form. I have been informed of and understand the contraindications to the requested treatments and agree that I do not have any condition(s) that would make the requested treatments unsuitable. I will inform my esthetician of any discomfort I may experience at any time during my treatment to allow them to adjust accordingly. I agree to waive all liabilities toward my esthetician and Body Wellness Massage LLC for any injury or damages incurred due to my misrepresentation of my health history .