The nature and purpose of this treatment has been explained to me and any questions I have regarding the treatment have been answered to my satisfaction.

I agree to allow pictures to be taken and shared of me.

I understand there are no refunds on services rendered.

I understand that if I choose to reschedule or cancel my appointment I must give a 48hr notice or I will be charged the full price of the service not including any discounts or specials.

I understand that the treatment may involve the risk of complication or injury and I freely assume those risks. Possible side effects of the treatment area can include mild redness of the skin, irritation and dryness.

If a chemical peel or other treatment is part of this treatment I understand that the sensation and penetration of the peel will be enhanced. Which may cause skin irritation, mild discomfort, and tenderness, lightening or darkening of the skin, infection, scarring, peeling, and activation of cold sores?

I certify that I have read this entire consent and that I understand and agree to the information provided in this form. I certify that I am competent adult of at least 18 years of age, or that, if I am a minor under the age of 18, I understand that the consent of my parent/guardian having legal custody will also be required before treatment. This agreement will remain in effect for this procedure and all future procedures conducted by Adore. I have read and fully understand all information in this agreement.

I understand the following statements:

It is imperative that you use a sunscreen with an SPF of at least 20 and avoid direct sunlight for at least 1 week.

Patients with hypersensitivity to the sun should take extra precautions to guard against exposure immediately following the procedure as they may be more sensitive following the peel.

Your skin may be more red than usual for 2 to 3 days. Please avoid strenuous exercise during this time.

Approximately 48 hours after the treatment your skin will start to peel. This peeling will generally last 2 to 5 days. DO NOT PICK OR PULL THE SKIN.

When washing your face, do not scrub. Use a cleanser that does not contain soap.

Apply a light moisturizer to relieve dryness and tightness.

Do not have any other facial treatment for at least 1 week after your peel.

it is common and expected that the skin will be red and possibly itchy and/or irritated. It is also possible that other adverse experiences (side effects) may occur.

Although rare, the following adverse experiences have been reported by patients after having a Peel; skin breakout or acne, rash, dark spots, swelling and burning.

LACK OF EFFECT: although most people experience peeling of their facial skin, not every client notices that their skin peels after a Peel procedure. Lack of peeling is NOT an indication that the peel was unsuccessful. If you do not notice actual peeling, please know that you are still receiving all the benefits of the Vitalize Peel, such as: stimulation of collagen production, improvement of skin tone and texture, and diminishment of fine lines and pigmentation.

I agree and adhere to all safety precautions and regulations during the skin treatment. I have received and understand the post care recommendations as follows: no sun exposure for 48 hours, moisturize as needed and use gentle cleanser only. Use of sunscreen is highly recommended post-treatment for at least next 7 days. (SPF 30)