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Purpose. Spa promotes health wellness and improvement. 

Risks. There are still risks in this type of treatment and the therapists will explain everything to you.

Confidentiality. All data that we gather from this form will be kept confidential and will not be released to anyone without your consent.

Consent form

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I authorized this spa clinic/center to perform the treatment or procedure I've selected.

I confirmed that I am of legal age and I'm not under the influence when I signed this consent.

I authorize the use of lotion, oil, serum, face mask, cream and ointments to my face and neck.

I acknowledge that this therapy has no sexual intent and touching the therapist is strictly prohibited.

I release this massage spa clinic/center for any responsibility in case of an accident, illness, or injury.

I agree that all information listed below or from another form is accurate and true.

I confirmed that I do not have any existing medical conditions that can affect the spa treatment.

I confirmed that I have read the statements above and the staff explained the procedures to me.

Thanks for submitting!

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