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CLT WELLNESS CO
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Waxing Intake Form
First Name
Phone
Last Name
Email
Birthday
Are you using retinoids? (If so you need to wait about 3 weeks for the medication to cycle out of your system if it's oral. If it's topical we can't wax the area you use the topical.)
*
Yes
No
Do you currenlty have an active infection, or open lesions? ( If so we have to wait until there are no open wounds. This is because open wounds are suseptible to infection. Ingrown hairs do not count.)
*
Yes
No
Do you currently have an active std/sti infection? (If yes, we have to wait until the break out is no longer active. Waxing over an active breakout can open lesions making you more suseptible to infections, scarring and a more intense breakout. Ingrown hairs are not an sti/std)
*
Yes
No
Are you currently pregnant?
*
Yes
No
Do you prefer a quiet service?
Yes
No
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