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info@anewspa.com #251-278-2639
info@anewspa.com #251-278-2639
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    • Waxing Consultation Form
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HAVE QUESTIONS? CLICK HERE
Waxing Consultation Form

Waxing Consultation Form

Name(Required)
Address(Required)
Are you under 18?(Required)
I have not used a Retin-A, a Retinol OTC, Renova or any form of Alpha Hydroxy Acid (AHA)(Required)
I have not had a professional or at home microdermabrasion, glycolic peel, or any other peels in the last 72 hours(Required)
I have been off Accutane for at least twelve (12) months(Required)
Are you using any other skin thinning products and or drugs?(Required)
Do you use tanning beds or are you exposed to the sun on a regular basis?(Required)
Do you plan to tan soon?(Required)
Are you Diabetic?(Required)
Do you smoke?(Required)
Any known Allergies?(Required)
Have you ever been waxed prior to today?(Required)
Do you have any open lesions?(Required)
Do you have an active herpes outbreak or cold sore?(Required)
I agree to inform my service provider if I am on my menstrual cycle?(Required)
agree to adhere to all skin care and safety protocols as recommended by my service provider. Including: no skin peels, no tanning, no sex, no swimming or hot tubs for 48 hours after waxing.(Required)
I am aware that there are often inherent risks associated with waxing and I my have unfavorable results such as, but not limited to, allergic reactions, irritation, burning, redness, scarring, soreness, etc., by signing below I further agree that I will not hold my provider, or establishment responsible should any of the above occur. I further understand that it’s my responsibility to inform my provider if any of the above changes.(Required)
We have the right to refuse services for all waxing services if proper hygiene is not followed for Brazilian/bikini waxes. Please use the provided wipes to cleanse the area.
MM slash DD slash YYYY
Daljeet Arora2022-09-28T18:14:31+00:00

Book your Appointment Today:
251-278-ANEW (2639)

Hours of Operation:
Monday-Friday: 10-7
Saturday: 10-2
Sunday: Closed

2004 US Highway 98, Suite C,
Daphne, AL 36526

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