184 Main Street East Perl Habour 8007
Mon - Sat 8.00 - 18.00 Sunday CLOSED
I understand that 30 dollars fee will be charged if I do not cancel or reschedule my appointment within 24 hours in advance. If I do not agree to pay the fee, my appointment will be rescheduled in 6 weeks from the date of my cancellation. Full body cancellation/no show will be charged $60 dollars.
Balances will automatically be charged to your account. I do understand that TAXES and GRATUITY are not included. Client information laser medical history In order to provide you with the most appropriate laser treatment, we need you to complete the following questionnaire. All information is strictly confidential.
All patients are required to complete a consultation prior to getting treated. This will give you time to explain treatment information & answer questions you may have.
I certify that the proceeding medical, personal and skin history statement are true and correct. I am aware that it’s my responsibility to inform the technician, esthetician, therapist, doctor or nurse of my current medical or health conditions and update this history. A current medical history is essential for the caregiver to execute appropriate treatment procedures.
I understand that Inova Laser Hair Removal System is intended for hair removal and that clinical results may vary with different skin types, hair color and location. I understand there is a possibility of rare side effects such as scarring and permanent discoloration as well as short-term effects such as redness, mild burning,blistering, temporary bruising and temporary discoloration of the skin including hypo pigmentation (decrease in skinpigment) or hyperpigmentation (increase in skin pigment).
I understand that to achieve maximum results the protocol prescribed should be adhered to. The treatment schedule is designed to maximize the results during treatment of each hair cycle. If for any reason the schedule cannot be adhered to, I understand that total percentage of hair loss could be affected. In addition, hair follicle that are dormant now may become active during or after my treatments may be necessary.
I understand that treatment by INOVA LASERS Laser Hair Removal System involves a series of treatments & the fee structure has been fully explained to me. I certify that I have been fully informed of the purpose of the procedure, expected outcomes and possible complications. I understand that no guarantee can be given as to the final results obtained. I am fully aware that my condition is a cosmetic concern and that decision to proceed is based solely on my expressed desire to do so. I confirm that I am not pregnant at this time & that I have not taken Accutane within the last 6 months. I do not have a pacemaker or internal defibrillator. I understand I need to stop tweezing, waxing, bleaching, using depilatories or any substance/medication that will damage the hair in the follicle. I understand that I need to shave, trim, clip, or cut any of the surface hairs before I have a treatment done.
I understand that Step Up Skin Laser is not responsible for any tattoo damages. I understand excessive sun exposure needs to be avoided prior to treatment. For optimal results, I should attempt to maintain the same skin tone throughout the treatment process. Sun exposure, tanning bed exposure,or the use of tanning creams could result in a less effective treatment or the technician choosing not to perform the treatment. I have read & understand this agreement and all my questions have been addressed & answered to my satisfaction. I understand the purpose of this procedure is to remove unwanted hair. There are several alternatives to laser hair removal treatment including electrolysis, shaving, waxing and plucking.Unprotected sun exposure following treatments is contraindicated as it may cause or worsen this condition.I have been asked at this time whether I have any questions about this procedure.
You'll have healthier, rejuvenated skin after you visit Step Up Skin Laser. We offer facials and skin tightening and hair removal services. Contact us today to make an appointment.
646-577-3333 , 646-882-8479
Step Up Skin Laser
433 Fifth Avenue 6th Floor
New York, NY 10016
Located in Midtown South Central
Monday - Sunday: 10:00 AM - 7:00 PM
*Closed for Holidays