** PLEASE READ and COMPLETE ALL ITEMS with RED ASTERISK **
We will conduct a consultation, assess results and make after care suggestions to best match products and services with desired results.
By submitting, I understand that all information will be kept strictly confidential for our eyes only. I also understand that my technician is not a medical doctor and does not prescribe or treat any medical conditions. I have been candid in revealing any condition or product use that may have a bearing on this procedure including surgeries, medical procedures, topical and internal medications, prescription or over the counter medications with known reactions. Neither my technician nor Violet White Total Body Care is/are responsible for the aggravation of conditions which were present at the time of the service, and which may be affected by the treatment. I understand and accept Appointments may be cancelled or changed up to 2 hours prior to appointment time. No Show Appointments will be charged regular appointment fee
Tell us your experience(s) below.
