Microdermabrasion & Diamond Glow Consent Form

I do fully understand all the questions above and have answered them all correctly and honestly. Furthermore, I know that it is my responsibility to alert the clinician about any recent surgeries or skin resurfacing procedures. Without the above disclosure I understand that the attending technician cannot optimize the effectiveness of DermaRadiance™ microdermabrasion & diamond wand services, which are designed to provide clients with superior results. By signing below I consent to the Satin Smooth DermaRadiance™ microdermabrasion & diamond wand procedure.