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Patient

Forms

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Permanent Makeup

Client Intake Form
Consent and Release Agreement
Covid-19 Liability Release Form
Lip Blushing Aftercare Instructions
Microblading Aftercare Instructions
Patch Test Consent Form
Patch Test Waiver Form
Permanent Eyeliner Aftercare Instructions
Photograph and Video Release Form

Microneedling

Aftercare Instructions
Client Intake Form
Consent and Release Agreement
Precare and Aftercare Instructions
Precare Instructions

Esthetician

Body Contouring_Client Intake Form
Body Contouring_FAQ
Body Contouring_Informed Consent
Client Cancellation Policy
Client Consent Form and Liability Waiver
Client Feedback Form
Client Intake Form
Client Treatment Plan
Client Treatment Record
Covid-19 Liability Release Form
Dermaplaning_Informed Consent
Eyelash Extensions_Client Intake Form
Eyelash Extensions_Informed Consent
Eyelash Extensions_Parental Consent
Microdermabrasion_Informed Consent
Photograph and Video Release Form
Skin Analysis Evaluation Form
Skin Type Guide
Special Offers Mailing List
Waxing_Aftercare Instructions
Waxing_Client Consent Form and Liability Waiver
Waxing_Client Intake Form

ADDRESS

Lake in the Hills, IL 60156

CONTACT

P: 815-680-5095

E: laurie@refreshmedspachicago.com

HOURS

Mon-Fri: 10am-6pm

Weekends: 9am-3pm

© 2023 by Refresh Med Spa. All Rights Reserved.

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