Skin Care Information Form (men)

Please complete the form below prior to your appointment. All information is kept strictly confidential. Thank you.

* required field

I understand if I experience any pain or discomfort during my session(s), I will immediately inform the therapist so the technique used may be adjusted to my level of comfort. I affirm that I have stated all my known medical conditions, and answered all questions honestly. I agree to keep the practitioner updated as to any changes in my medical profile, and I understand there shall be no liability on the practitioners’ part should I forget to do so. I release Main Street Spa & Wellness Center and their staff from any liability for claims arising from the use of services. We reserve the right to restrict or refuse any client.

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