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    In-Grown and Dry Skin Waiver Form

    Uploaded by

    Nailandia Main Square Bacoor
    This document is an ingrown and dry skin waiver form for Nailandia Nail Studio and Body Spa. It asks clients about current medical conditions like diabetes, sunburns, or recent surgeries that could affect ingrown or dry skin removal services. Clients must acknowledge that they are releasing Nailandia from any claims resulting from such services, and that any health information provided is for general purposes only. The form requires the client's signature to confirm their medical information and agreement to the waiver.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    In-Grown and Dry Skin Waiver Form

    Uploaded by

    Nailandia Main Square Bacoor
    274 views1 page
    This document is an ingrown and dry skin waiver form for Nailandia Nail Studio and Body Spa. It asks clients about current medical conditions like diabetes, sunburns, or recent surgeries that could affect ingrown or dry skin removal services. Clients must acknowledge that they are releasing Nailandia from any claims resulting from such services, and that any health information provided is for general purposes only. The form requires the client's signature to confirm their medical information and agreement to the waiver.

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    © © All Rights Reserved

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    This document is an ingrown and dry skin waiver form for Nailandia Nail Studio and Body Spa. It asks clients about current medical conditions like diabetes, sunburns, or recent surgeries that could affect ingrown or dry skin removal services. Clients must acknowledge that they are releasing Nailandia from any claims resulting from such services, and that any health information provided is for general purposes only. The form requires the client's signature to confirm their medical information and agreement to the waiver.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    274 views1 page

    In-Grown and Dry Skin Waiver Form

    Uploaded by

    Nailandia Main Square Bacoor
    This document is an ingrown and dry skin waiver form for Nailandia Nail Studio and Body Spa. It asks clients about current medical conditions like diabetes, sunburns, or recent surgeries that could affect ingrown or dry skin removal services. Clients must acknowledge that they are releasing Nailandia from any claims resulting from such services, and that any health information provided is for general purposes only. The form requires the client's signature to confirm their medical information and agreement to the waiver.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    IN-GROWN AND DRY SKIN WAIVER FORM

    Name: ________________________ Date: ______________

    1. Are you currently affected by any of the following conditions?


    Phlebitis _____ Diabetes _____ Sunburn _____ Allergies _____
    Hypertension _____ Recent Surgery _____ Varicose Viens _____ Rash _____

    2. Do you have any medical conditions, health problems or other physical conditions that
    might affect the removal of the in-grown or dry skin service today?
    YES: _____ NO: _____

    If YES, Please explain: _________________________________________________


    ___________________________________________________________________.

    IMPORTANTE NOTICE:

    It is my choice to allow NAILANDIA Nail Studio and Body Spa to take out the in-grown
    and dry skin of my nails. I hereby release NAILANDIA Nail Studio and Body Spa from
    any claims resulting from such. Any information provided to me by NAILANDIA Nail
    Studio and Body Spa is for general information and for educational purpose only and is
    not intended for any medical or therapeutic purpose.

    My signature below also indicates that I have stated any medications that I am
    taking. In additional, I understand that it is my responsibility to update
    NAILANDIA Nail Studio and Body Spa if any of the above-mentioned information
    has changed.

    ____________________________ __________________
    Signature Over Printed Name Date

    Nailandia Nail Studio and Body Spa


    Main Square Mall Branch

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