Forms — Arbor Skincare Retreat skincare facials

New Client Form

Thank you for choosing Arbor Skincare Retreat. Please fill out the form below prior to treatment.

Name

First Name

Last Name

Phone Number

Emergency Contact and Emergency Contact Phone Number

Please list all of your skin conditions and concerns

Are you under a physician's care? If so, please list the reason(s) why.

Electronic Signature

I hereby give my voluntary consent and authorization for treatment to my provider at Arbor Skincare Retreat LLC. I hereby certify that the information I have provided in this form is true to the best of my knowledge. I agree to release Arbor Skincare Retreat LLC, its employees, and associates from any claims, expressed or implied that I have or may have in the future in connection with this treatment, regardless of the result. By typing my name below, I agree with the statements above.

New Client Form

Call or Text: 972-358-6125

9899 East Bankhead Hwy

Suite 100

Aledo, TX 76008