MicroCurrent Consent Form

MicroCurrent Consent

  • I understand that if I have any concerns, I will address these with my Esthetician. I give permission to my Esthetician to perform the microcurrent procedure we have discussed, and will hold Plumberry Skin Care and Luminate Spa Space harmless and nameless from any liability that may result from this treatment. I have consented to the statements above, including all know allergies, prescription drugs, conditions, or products I am currently ingesting or using topically. I understand my Esthetician will take every precaution to minimize or eliminate negative reactions as much as possible. In the event I may have additional questions or concerns regarding my treatment, I will consult with my Esthetician immediately. I agree that this constitutes full disclosure, and that it supersedes any previous verbal or written disclosures. I certify that I have read, and fully understand, the above paragraphs and that I have had sufficient opportunity for discussion to have any questions answered.
  • This field is for validation purposes and should be left unchanged.