Pre-Treatment Form Explanatory Information
This material is provided for informational purposes only.
Applicable Condition / Why Relevant Allergies
Ingredients used in our products could cause allergic reactions. e.g., allergies to
Arthritis
Affected area to be massaged with a lighter touch/movement. Treatments can cause reaction with anti-inflammatory medication. Massage is contra-indicated in
acute stages of rheumatoid arthritis.
Use of steam is contra-indicated. Steroid medication can affect some treatments. Oils used in services could trigger an attack. The technician needs to know if a guest
Back / Neck Problems
Proper support for the affected area is necessary. Pressure applied may require
Bruises / Broken Capillaries
Waxing, heat and pressure used in some services could increase these conditions.
*Please see below for further information / recommendations. Cold Sores / Herpes
Communicable conditions require that proper precautions are taken to avoid
exposure or spread. Waxing can aggravate the affected area. Contagious Condition / Disease
Communicable conditions require that proper precautions are taken to avoid
Claustrophobia
Some services involve warm towels, wraps, masks or mittens which could trigger an
Diabetes
Skin / Body sensitivity, neuropathy, circulation and healing problems. Cutting of cuticles is contra-indicated. Guests with healing /foot problems should notify the
technician. Adjustment to or avoidance of some services may be necessary. Epilepsy
High frequency / galvanic stimulation treatments are contra-indicated. They can
cause additional stimulation to the nervous system.
The condition is an indicator of infection. Face, wax and body services are contra-
Fibromyalgia
Affected area to be massaged with a lighter touch and gentle stretching. Fungal Disease
Communicable conditions require that proper precautions are taken to avoid
exposure or spread. Nail services are contra-indicated. Heart Conditions / Pacemaker
High frequency / galvanic stimulation treatments are contra-indicated. Services involving heat (hydrotherapy, warm blankets) are contra-indicated. Massage can
stimulate heart rate and blood / fluid flow. Heat Sensitivity
Some services involve use of heated water, wax and / or towels. Hair services can
involve sitting under a dryer or Climazon.
High / Low Blood Pressure
Some services involve use of heated water, towels and / or wraps which may affect
blood pressure. Massage can cause relaxation, thus lowering blood pressure.
*Medications used during treatment can cause changes in skin condition including thinning skin, dryness and sensitivity to chemicals and heat. Medical treatment can result in body sensitivity to pressure and heat. Regarding massage and chemotherapy treatment: Protocol recommends no massage 48 hours before chemotherapy treatment and a waiting period of at least 72 hours following a chemotherapy treatment. Medical treatments can result in other conditions that could adversely react with certain services. A doctor's authorization is recommended.
Pre-Treatment Form Explanatory Information
This material is provided for informational purposes only.
Applicable Condition / Why Relevant Metal Plates / Pins
High frequency / galvanic stimulation treatments are contra-indicated. Plates / pins
Multiple Sclerosis
Body services using heat are contra-indicated for this condition.
Osteoporosis
Some services involve significant pressure, water / wetness and / or heat. Service
Recent Surgery / Scar Tissue
Area may be sensitive and still healing, requiring adjustment to some services.
Rosacea / Sensitive Skin
Some services and / or heat may aggravate condition. Adjustments to services may
Skin sensitivity. Some services may cause irritation or aggravation of the condition.
Peels, microdermabrasion, waxing and scrubs are contra-indicated. Thrombosis
Skin / Body may be sensitive to pressure. Blood clotting is a concern.
Thyroid Problems
Some products contain seaweed, causing a potential reaction in people with thyroid
Varicose Veins
Some services may involve pressure and / or heat. Affected areas should be
avoided; service adjustments may be necessary.
Wounds / Skin Disorders
Conditions are sensitive. Some services may cause irritation or aggravation of the
condition; service adjustments may be necessary.
Pregnancy / Fertility Treatments
** Please see below for further information / recommendations.
Prescription Medications
Medications can have side effects that warrant adjustment to some services. Some
Used / Taken: Avage, Avita, Differin / Accutane, Metrogel, Renova, Retin A, or Tazorac?
Some of these medications thin the skin, chemical sensitivities can develop. Waxing,
microdermabrasion and glycolic peels are contra-indicated.
Had Advanced Skin Treatments
Waxing services may be contra-indicated with microdermabrasion and glycolic peel.
Ingredients used in our products could irritate skin. Contact Lenses
Should be removed prior to lash tinting and microdermabrasion. Guests may wish to
remove lenses before their service to ensure comfort.
**Massage is contra-indicated during the first trimester. Massage can be conducted in the second and third trimesters with a doctor's authorizing note. If no note is tendered, the guest is required to sign an ill-advised services waiver form. Avoid massage of ankles and wrists. High frequency and galvanic stimulation are contra-indicated. Chemical hair treatments are not recommended during pregnancy, especially during the first trimester.
WARFARIN NECROSIS TREATMENT with TRANSDERMAL CONTINUOUS OXYGEN THERAPY Stephanie Wu, DPM, MSc* and Donald Kemp, MD# * Associate Professor of Surgery, Dr. William M. Scholl College of Podiatric Medicine, Center for Lower Extremity Ambulatory Research, Chicago IL #Renfrew Victoria Hospital, Wound care Clinic, Renfrew, ON, Canada Warfarin (Coumadin; DuPont Pharma, Wilmington, DE) is a sy
Shakedown? Epilepsy Drug Lobby Gave Lawmakers Fits • Industry- Funded Non-Profit Pushed To Limit Generic Substitutes. acing huge revenue losses as a result of expiring The Journal reported that when the foundation’s San patents for anti-seizure pills, drug makers teamed Antonio and Houston chapters decided to make such a F up with the industry-funded Epilepsy Foundation