Home
Consent Forms
Pricing
Book Appointment

Home
Consent Forms
Pricing
Book Appointment

201 S Main St

El Dorado, KS 67042

Body Treatment

Consent Form

Body Treatment Consent Form

First & Last Name

Date of Birth

Gender

Email

Phone Number

Free Text

Skin History

Have you had this body treatment done before?

If yes, how long ago?

Free Text

Skin Information & Health History

Are you currently pregnant or breastfeeding?

Have you been diagnosed with skin cancer?

Do you frequent tanning booths?

Do you have high blood pressure?

Do you suffer from epilepsy or seizures?

Do you have varicose veins?

Do you have sensitive skin?

Do you have any skin disorders or conditions?

Have you been waxed in the last 2 weeks?

Have you had electrolysis or used depilatories?

Have you used any chemical exfoliants such as Retin-A, Benzoyl Peroxide, Glycolic Acid, Lactic Acid, Salicylic Acid, or similar products in the past 3 months?

Do you have any allergies? If so, please specify:

Free Text

Emergency Contact

Full Name

Phone Number

Relationship

Free Text

Medical Information

Please check all that apply to you

Med Info

Pregnant

Nursing

Diabetes

Autoimmune Diseases

Rosacea

High Blood Pressure

Enlarged Pores

Epilepsy or Seizures

Skin Allergies

Heart Disease

Sun Damage

Asthma

Do you have any allergies to specific ingredients or products?

Please list any recent surgeries or treatments

Free Text

Consent

Please initial on each line consenting to the following:

I acknowledge that although complications during a body treatment are rare, they are still possible. I understand that the body treatment may involve known or unknown contraindications, which may include but are not limited to: skin reactions and allergic reactions resulting in hives, burning sensations, and headaches.

I authorize my technician and Beauty Oasis to conduct a body treatment on me.

I have answered all the questions on this form truthfully and to the best of my knowledge.

I confirm that I have requested the body treatment service and acknowledge all potential complications and contraindications associated with it, should they arise.

I acknowledge that the results I anticipate may not be guaranteed, and any additional treatments required will incur an additional cost.

Free Text

Consent & Agreement

Free Text

I acknowledge that the body treatment does not replace medical treatment or advice. I have provided accurate information to the best of my knowledge. I consent to the body treatment and agree to adhere to the technician's recommendations for aftercare and skincare. I agree to absolve all liability from my technician and Beauty Oasis in the event of any inaccuracies in the consent form filled out on my behalf.

Client Name

Date

Thank you!

Oops, there was an error sending your message.
Please try again later.

First & Last Name

Date of Birth

Gender

Email

Phone Number

Free Text

Skin History

Have you had this body treatment done before?

If yes, how long ago?

Free Text

Skin Information & Health History

Are you currently pregnant or breastfeeding?

Have you been diagnosed with skin cancer?

Do you frequent tanning booths?

Do you have high blood pressure?

Do you suffer from epilepsy or seizures?

Do you have varicose veins?

Do you have sensitive skin?

Do you have any skin disorders or conditions?

Have you been waxed in the last 2 weeks?

Have you had electrolysis or used depilatories?

Have you used any chemical exfoliants such as Retin-A, Benzoyl Peroxide, Glycolic Acid, Lactic Acid, Salicylic Acid, or similar products in the past 3 months?

Do you have any allergies? If so, please specify:

Free Text

Emergency Contact

Full Name

Phone Number

Relationship

Free Text

Medical Information

Please check all that apply to you

Med Info

Pregnant

Nursing

Diabetes

Autoimmune Diseases

Rosacea

High Blood Pressure

Enlarged Pores

Epilepsy or Seizures

Skin Allergies

Heart Disease

Sun Damage

Asthma

Do you have any allergies to specific ingredients or products?

Please list any recent surgeries or treatments

Free Text

Please initial on each line consenting to the following:

I acknowledge that although complications during a body treatment are rare, they are still possible. I understand that the body treatment may involve known or unknown contraindications, which may include but are not limited to: skin reactions and allergic reactions resulting in hives, burning sensations, and headaches.

I authorize my technician and Beauty Oasis to conduct a body treatment on me.

I have answered all the questions on this form truthfully and to the best of my knowledge.

I confirm that I have requested the body treatment service and acknowledge all potential complications and contraindications associated with it, should they arise.

I acknowledge that the results I anticipate may not be guaranteed, and any additional treatments required will incur an additional cost.

Free Text

Consent & Agreement

Free Text

I acknowledge that the body treatment does not replace medical treatment or advice. I have provided accurate information to the best of my knowledge. I consent to the body treatment and agree to adhere to the technician's recommendations for aftercare and skincare. I agree to absolve all liability from my technician and Beauty Oasis in the event of any inaccuracies in the consent form filled out on my behalf.

Client Name

Date

Thank you!

Oops, there was an error sending your message.
Please try again later.

Location

201 S Main St

El Dorado, KS 67042

Hours

Monday: Closed

Tuesday: 9am - 5pm

Wednesday: 9am - 5pm

Thursday: 11am - 6pm

Friday: 9am - 5pm

Saturday: By Appointment Only

Sunday: Closed

Contact Us

beautyoasisesthetics@yahoo.com

Book Appointment

© 2025

All Rights Reserved | Beauty Oasis | Site Creds | Legal Notice

© 2025

All Rights Reserved | Beauty Oasis | Site Creds | Legal Notice

Share by: