Dermaplaning Intake form

I understand that dermaplaning is the process of removing superficial layers of dead skin cells on the skin's surface by the use of a sterile blade.

I have been explained the process of dermaplaning by my esthetician and have had the opportunity to ask any questions.

I understand that results may not be seen in a single treatment. The ideal plan of treatment is to have at least one dermaplaning treatment as directed by my esthetician to enhance any skin conditions and follow up with maintenance treatments as needed.

I understand, for optimum results, the importance of following the pre-prep home care system as well as the post-home care system recommended to me by my esthetician.

I understand that there may be unforeseen risk with dermaplaning such as cutting, scraping, or abrading the skin with the blade.

I am satisfied with the information provided to me regarding dermaplaning and agree to have the procedure performed on me.

I understand that with any treatment certain risks are involved and that any complications or side effects from known or unknown causes could occur.

I have cited al conditions and circumstances regarding my health history, medications being taken, and any past reactions to products or medications.

I have read and completed this consent form in its entirety, and have answered everything to the best of my ability.

I've read and understood the form. I waive any liability for the treatment.*

Please insert date*

PLEASE INITIAL: Although every precaution will be taken to ensure your safety and wellbeing before, during, and after the treatment, please be aware of the following information and possible risks.

Dermaplaning Intake form

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