Sugaring/Waxing Form

Your Name
Have you ever had a professional sugaring or waxing?
Have you ever had an adverse reaction to sugaring or waxing?
Have you been had a peel, microdermabrasion, or tanned in the past 48 hours?
Are you currently taking any medication?
List Medications Here
Do you have any allergies?
List all allergies/allergens (product ingredients, foods, plant/herbs, latex, etc):
Are you taking any of the following medications? Check all that apply.
Are any of these conditions present?
All other conditions
Any items above being present can cause you to experience more discomfort, an increased chance of side effects like skin injury, bruising, scabbing or other complication. You must inform your practitioner immediately if any of the items above change at any time in-between services. Your intake information is important to keep up to date for your safety during hair removal or other services. Thank You. Please acknowledge by typing your first and last name.

Arch Wellness