• Spa Registration

    Welcome to Skinkure Spa!
  •  -





  • Waiver

    • I understand and acknowledge there are risks involved with the facials, peels, microdermabrasion, microcurrent, eyelash extensions, tinting, and waxing.
    • I have had the opportunity to ask questions regarding these risks and other possible complications. 
    • I understand that any false or misleading information I have given may lead to undesirable results and complications or effects and hereby waive Skinkure's liability if such results or complications occur. 
    • I further understand my failure to follow post care instructions may also lead to undesirable results, complications, or effects and hereby waive Skinkure's liability if such results or complications occur. 
    • In consideration for Skinkure Spa performing this procedure any future procedures, I agree I will assume the risk and full responsibility ofr any and all injuries, losses, or damages which might occur to me while I am undergoing this procedure or side effects I may experience after the procedure or future procedures are performed. 
    • I understand that the esthetician does not diagnose illness, idsease, or any other physical or mental conditions. 
    • Any sexual misconduct exhibited by the client will result in immediate termination of the session, and the client will be liable for the scheduled appointment. 
    • To the maximum extent allowed by law, I agree to waive and release any and all present and future claims, suits, or related causes of action against Skinkure, LLC, its owners, employees, or agents for negligence, injury, loss, death, costs, or other injuries, or damages to me as a result of this procedure. 
    • I agree to this waiver and release and bind the members of my family, and any spouse or domestic partner, if I am alive, as well as my estate, family, heirs, administrators, personal representatives, or assigns if I am deceased, and shall be deemed as a "Release, Waiver, Discharge, and Covenent" not to sue Skinkure spa. 

    Maximum liability

    Skinkure Spa's maximum aggregate liability to patient related or in connection with the procedures performed by Skinkure, its employees, or agents, will be limited to the total amount paid to Skinkure by the patient for the procedure described in this authorization and consent. 


  • This information will be treated confidentially. In order to maximize the effectiveness and saftey of yur treatments, please give your feedback during and at the end of the session. This will help in tailoring the treatment to best suit your preferences.


    I have read the above information and will discuss pertinent details with my esthetician. I understand that this work does not constitute emdical treatment; it is a form of health and wellness maintenance. I take full responsibility for alerting my esthetician to any physical conditions thta would affect this treatment. 


    If you are under 18 a parent or guardian must sign below to give permission for you to be treated by one of our licensed estheticians. 

  • Clear
  • COVID-19 Liability Release Waiver

  • I understand that the novel Coronavirus (COVID-19) has been declared a global pandemic. I further understand that COVID-19 is extremely contagious and may be contracted from various sources. I understand COVID-19 has a long incubation period during which carriers of the virus may not show symptoms and still be contagious.

    I understand that I am the decision maker for my health care. Part of this practice and team of health providers’ role is to provide me with information to assist me in making informed choices. This process is often referred to as “informed consent” and involves my understanding and agreement regarding recommended care, and the benefits and risks associated with the provision of health care during a pandemic. Given the current limitations of COVID-19 virus testing, I understand determining who is infected with COVID-19 is exceptionally difficult.

  •  knowingly and willingly consent to today’s visit and treatment with the full understanding and disclosure of the risks associated with receiving care during the COVID-19 pandemic. I confirm all of my questions were answered to my satisfaction. I have read, or have had read to me, the above COVID-19 risk informed consent to treat. I appreciate that it is not possible to consider every possible complication to care. I have also had an opportunity to ask questions about its content, and by signing below, I agree with the current or future recommendation to receive care as is deemed appropriate for my circumstance. I intend this consent to cover the entire course of care from all providers in this office for my present condition and for any future condition(s) for which I seek care from this office.

    By signing this form I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I may be exposed to or infected COVID-19 by my mere presence within the establishment and such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that th risk of becoming exposed to or infected by COVID-19 may result from the actions, omissions, or negligence of myself and others, including, but not limited to, employees, volunteers, and program participants and their families. I hereby release McLean Dermatology and Skincare Center, LLC and Skinkure, LLC from any and all claims arising from or in connecting with any direct COVID-19 impact while visiting.

  • Clear
  • COVID-19

  • Should be Empty: