Acne Client Consent Form Acne Consent Form I consent to receiving a skin care evaluation and understand that it is for entertainment purposes only. I understand the information and education given by Jacquelyn (Saving Faces Holistic Skin Care LLC) regarding skin care, diet, and supplements is not a substitute for advice from a medical professional and is based solely on her own personal experience, trainings and education. I understand that the coaching, guidance, information and education I receive is for general informational purposes only. I understand that this information is not intended to be a substitute for professional health or medical advice or treatment, nor should it be relied upon for the diagnosis, prevention, or treatment of any health consideration. I agree to consult with a licensed health care practitioner before altering or discontinuing any medications, treatment or care, or starting any diet, exercise or supplementation program. I agree to disclose to Jacquelyn (Saving Faces Holistic Skin Care LLC) the use of any prescriptions or supplements. I understand that Jacquelyn is not a licensed medical doctor or other formally licensed health care practitioner or provider, and her advice should never be taken in place of a trained medical professional. I acknowledge and have read and understand the waiver. Sign Date I Agree Consent(Required) I consent to receiving a skin care evaluation and understand that it is for entertainment purposes only.(Required)Consent(Required) I understand the information and education given by Jacquelyn (Saving Faces Holistic Skin Care LLC) regarding skin care, diet, and supplements is not a substitute for advice from a medical professional and is based solely on her own personal experience, trainings and education.(Required)Consent(Required) I understand that the coaching, guidance, information and education I receive is for general informational purposes only. I understand that this information is not intended to be a substitute for professional health or medical advice or treatment, nor should it be relied upon for the diagnosis, prevention, or treatment of any health consideration.(Required)Consent(Required) I agree to consult with a licensed health care practitioner before altering or discontinuing any medications, treatment or care, or starting any diet, exercise or supplementation program.(Required)Consent(Required) I agree to disclose to Jacquelyn (Saving Faces Holistic Skin Care LLC) the use of any prescriptions or supplements.(Required)Consent(Required) I understand that Jacquelyn is not a licensed medical doctor or other formally licensed health care practitioner or provider, and her advice should never be taken in place of a trained medical professional.(Required)I, Full name(Required)acknowledge and have read and understand the waiver.Signature(Required)Date(Required) Month Day Year CAPTCHA