Please complete the Skin Care Treatment Consent form. If you've already filled out a form for the same area and concern at Blissful Image you don't need to do it again. Thank you!

Takes 7+ minutes

Question 1

Due to COVID-19, we are implementing extra precautions for each client intake. This includes reviewing your health history and ensuring thorough sanitation practices. Before your appointment, please complete the form below and confirm your agreement to the following:

- You have not experienced any communicable illnesses in the last 14 days, including symptoms related to COVID-19.
- You release Sharlyn C. Marquez/Blissful Image from any liability for unintentional exposure to COVID-19 and all other communicable diseases.This question is required.

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