Soulmate Skin New Client Form

* indicates required

/ ( mm / dd )


Which products do you currently use and how often?  Include as much info as possible including brand.


(45-60 minutes at high noon with no sun protection?)



Please confirm any of the following:
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  • For Women Only - Please confirm:
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    You authorize Soulmate Skin to perform superficial skin care treatments that are discussed with you . You understand that there are no guarantees and that the best results and outcomes are achieved by adhering to a proper homecare program and regular professional treatments as recommended by your esthetician. You understand that Soulmate Skin is not a medical facility and employs no doctors or health care practioners, only licensed estheticians.
    Confirm Authorization *
  • 1. I understand that Soulmate Skin’s services including facials and body treatments are for the sole purpose of skin cleansing, improving the appearance of the skin, body and mind relaxation and rejuvenation.
    2. I understand that it is imperative to tell my Esthetician or Body Worker about any oral or topical medications prior to any facial, waxing or body treatment services.
    3. I understand that Soulmate Skin and staff do not diagnose illness, disease, or any other physical or mental disorder. I accept full responsibility of the use of Soulmate Skin at my own risk, and to not hold Soulmate Skin or staff liable for loss, damage or injury.
    4. I understand that results differ from client to client and are not guaranteed. I understand that compliance with home care recommendations can improve results.
    5. I confirm that to the best of my knowledge that the answers given on the client consultation form are correct and that I have not withheld any information that may be relevant to my treatment at Soulmate Skin.
    6. I understand and acknowledge that Soulmate Skin has a 24 hour notice cancellation policy. It’s my responsibility to keep the appointment or cancel with a minimum of 24 hours notice. I understand that I will be charged the full treatment price for any missed appointments or those not cancelled at least 24 hours before. I understand that if said appointment is prepaid, I will forfeit that appointment.
    Confirm Acknowledgement the Above Six Statements: *
  • / / ( mm / dd / yyyy )