Covid-19 Disclaimer Form
 

As Coronavirus has had a big impact on our lives and because we want to put your safety first, we’d like to ask you some questions before your visit. Please provide your answers below: I confirm that I am not infected with COVID-19 and I am not presenting any of the

following symptoms: fever, shortness of breath, loss of sense of taste or smell, dry cough, runny nose or sore throat. I confirm that I haven't been around anyone exhibiting these symptoms within the past 14 days I confirm that I am not living with anyone who is diagnosed with COVID-19 or quarantined.

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Photograph and Video Release Form

Hereby grant and authorize Principessa Med Spa the right to take, edit, alter, copy, exhibit, publish, distribute and make use of any and all pictures, video, and/or audio is taken of me to be used in and/or for any lawful promotional materials including, but not limited to, newsletters, flyers, posters, brochures, advertisements, press kits, websites, social networking sites, and other print or digital communications without payment or any other consideration. This authorization extends to all languages, media, formats, and markets now known or later discovered. I waive the right to inspect or approve the finished product wherein my likeness appears, including a written or electronic copy. Additionally, I waive any right to royalties or other compensation arising or related to the use of my image or recording. I hereby hold harmless and release from all liability, petitions, and causes of action which I, my heirs, representatives, executors, or any other persons may make while acting on my behalf or on behalf of my estate.

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Client Consent Form & Liability Waiver

I hereby consent to and authorize Principessa Med Spa LLC to perform the any procedures I'm book for at my appointment. I understand all of the procedures may have certain side effects which may include but are not limited to skin removal, redness, swelling, and tenderness. I have had the opportunity to ask questions regarding these side effects and other possible complications. I give permission to my esthetician to perform the procedure we have discussed, and I will hold them and the spa harmless from any liability that may result from this treatment. I have read and understand the aftercare home care instructions. I understand how important it is to follow all instructions given to me for aftercare. In the event that I may have additional questions or concerns regarding my treatment and suggested aftercare, I will consult the esthetician immediately. I have also, to the best of my knowledge, given an accurate account of my medical history, including all known allergies or prescription drugs or products I am currently ingesting or using topically. I have read and fully understand this agreement and all information detailed above. I understand the procedure and accept the risks. I agree I will assume the risk and full responsibility for any and all injuries, losses, side effects, or damages that might occur to me while I am undergoing this procedure. I do not hold the esthetician, whose signature appears below, responsible for any of my conditions that were present, but not disclosed at the time of this skincare procedure, which may be affected by the treatment performed today.

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Cancellation Policy

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Your appointment is very important. We understand that sometimes schedule adjustmentsare necessary. Therefore, we respectfully request at least 24 hours’ notice prior to yourscheduled appointment time for cancellations or rescheduling of appointments. Please notify us by e-mail if your cancellation is outside of our normal business hours or you’re unable to reach us by phone at 863-262-8291 ANY APPOINTMENTS CANCELLED/RESCHEDULED OR CHANGED WITHOUT 24 HOURS NOTICE WILL RESULT IN A CHARGE EQUAL TO 50% OF THE RESERVED SERVICE AMOUNT. ALL “NO SHOWS” WILL BE CHARGED 100% OF THE RESERVED SERVICE AMOUNT. We recognize the time of our clients and therapist is valuable and have implemented this policy for this reason. When you miss an appointment with us, we not only lose your business but also the potential business of other clients who could have scheduled an appointment for the same time. Please remember that it is your responsibility to remember your appointment dates and times in order to prevent any missed appointments which result in a cancellation fee. Not receiving an electronic notification of your appointments from us is not sufficient reason to miss an appointment if the original confirmation notification was received timely. It is mutually understood that if a cancellation is due to circumstances beyond any of our control, such as power outage, unfortunate incidence, illness, or weather that requires you or us to have to cancel or be closed during regular business hours, we will reschedule your existing appointment and no discount or rescheduling fee will apply. I have read and understood the cancellation policy and agree to abide by the above conditions.

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GIFT CARD /TARJETAS DE REGALOS

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GIFT CARDS

You may purchase gift cards in any dollar amount for services, products, and gratuities. All gift cards and gift certificates are non-refundable and non-redeemable for cash. Gift cards expire one 6 MONTHS after the purchase date. We regret that lost or stolen gift cards and gift certificates will not be replaced.

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TARJETAS DE REGALO

Puede comprar tarjetas de regalo por cualquier monto en dólares para servicios, productos y propinas. Todas las tarjetas de regalo y certificados de regalo no son reembolsables ni se pueden canjear por dinero en efectivo. Las tarjetas de regalo caducan 6 MESES después de la fecha de compra. Lamentamos que las tarjetas de regalo y los certificados de regalo perdidos o robados no sean reemplazados.

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REFUNDS/EXCHANGES

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ALL SALES ARE FINAL including but not limited to services, products, boutique items, classes, etc. If you are unhappy with your service, please contact us within 24 HR days in order for us to make arrangements to correct the inconsistencies done on our part.

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REEMBOLSOS/CAMBIOS

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TODAS LAS VENTAS SON FINALES, incluyendo pero no limitado a servicios, productos, artículos de boutique, clases, etc. Si no está satisfecho con su servicio, comuníquese con nosotros dentro de los días de 24 horas para que podamos hacer arreglos para corregir las inconsistencias cometidas por nuestra parte.

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DISCLAIMER

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PRINCIPESSA MED SPA LLC have the right to refuse service to any client or patient, at our discretion if we consider the client or patient does not represent our vision or policy within the establishment or toward our staff or other clients .

 

RENUNCIA

PRINCIPESSA MED SPA LLC tiene el derecho de negar el servicio a cualquier cliente o paciente, a nuestra discreción si consideramos que el cliente o paciente no representa nuestra visión o política dentro del establecimiento o hacia nuestro personal u otros clientes.

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Client Consent Form & Liability Waiver

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I consent and authorize Principessa Med Spa LLC to perform any procedures I'm booked for at my appointment. I understand all of the procedures may have certain side effects which may include but are not limited to skin removal, redness, swelling, and tenderness. I have had the opportunity to ask questions regarding these side effects and other possible complications. I permit Principessa Med Spa provider (staff)to perform the procedure we have discussed, and I will hold them and the spa harmless from any liability that may result from this treatment. I have read and understand the aftercare home care instructions. I understand how important it is to follow all instructions given to me for aftercare. If I may have additional questions or concerns regarding my treatment and suggested aftercare, I will consult the therapist within 24 hr. aftercare I have also, to the best of my knowledge, given an accurate account of my medical history, including all known allergies or prescription drugs or products I am currently ingesting or using topically. I have read and fully understand this agreement and all the information detailed above. I understand the procedure and accept the risks. I agree I will assume the risk and full responsibility for any injuries, losses, side effects, or damages that might occur to me while I am undergoing this procedure. I do not hold the Principessa Med Spa LLC staff, whose signature appears below, responsible for any of my present conditions, but not disclosed at the time of the procedure, which may be affected by the treatment performed today.

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