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Nourishing Journey: Skincare Consent

While the aesthetic services offered at Nourishing Journey are generally considered very safe and effective for most people, there are some contraindications that you should be aware of:

CONTRAINDICATED

CAUTIONED

.
.

Currently pregnant or breast feeding?
Wear sunscreen / sunblock?

SKIN HEALTH HISTORY

Is this your first facial?
Are you seeing a dermatologist?
Do you smoke tobacco?
Do you use tanning beds?
  1. I have read the list of contraindications for aesthetic/skincare treatments and verify that my answers are true.

  2. I consent to receive facial treatment services, including but not limited to cleansing, exfoliation, extractions, masks, massage, and application of skincare products.

  3. I understand that it is my responsibility to inform the practitioners at Nourishing Journey of any changes in my health that may affect my experience of the service.

  4. I understand that while facial treatments are generally safe, there are possible risks and side effects, including but not limited to:

    • Temporary redness, irritation, or sensitivity

    • Allergic reactions to products

    • Breakouts or skin purging

    • Discomfort during extractions

  5. I understand that results may vary. I acknowledge that no guarantees have been made regarding the outcome of the treatment.

  6. I agree to follow all aftercare instructions provided to me. I understand that failure to do so may affect the results of my treatment.

Your Signature below indicates you have provided true and accurate information to the best of your knowledge.

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​Disclaimer: All of the information presented by Nourishing Journey on this website or in any other way are for informational purposes only.  Unless you are consulting with our medical staff, we do not prevent, diagnose or treat any disease or disorder.  Please seek appropriate medical care for any health concerns.

8975 Guilford Road, Suite 170, Columbia, MD 21046

Phone: 410-992-3001

Administrative Hours

10am - 5pm Monday through Saturday

Closed Sundays

​© 2017-2026. Nourishing Journey. All Rights Reserved.  

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