Client Information
Emergency Contact
Medical Condition
Facial and Waxing Treatment Details:
I, the undersigned, hereby consent to receive facial and waxing treatments at Kays-Salon under the care of Licensed esthetician Khursheid Haider.
I have been informed of the details and potential risks associated with these treatments, and I agree to follow any post-treatment care instructions provided by the esthetician.
I understand that the treatments may include, but are not limited to, the following:
Facial Treatment: This may involve cleansing, exfoliating, extracting impurities, and applying various skincare products.
Waxing Treatment: This may include the removal of hair from specific areas using warm wax.
I acknowledge that the esthetician has explained the procedures and potential risks associated with these treatments, which may include redness, skin irritation, and in rare cases, burns, allergic reactions, or infection. I have been given the opportunity to ask questions, and I am satisfied with the answers provided.
Kays-Salon
Our Image is to make your image
contact us:
Email: [email protected]
Address
Office: 154 SE Laurel Street, Waukee, Iowa
(Next door to Dollar tree)
Assistance Hours
Tue – Fri 4:45pm – 7:45pm
Saturday - 10am - 7pm
Sunday – 10am - 6pm
Monday - CLOSED
Phone Number:
(515) 478-0744