{"id":6614,"date":"2025-03-29T08:28:54","date_gmt":"2025-03-29T08:28:54","guid":{"rendered":"https:\/\/clinic.weecode4u.com\/?page_id=6614"},"modified":"2025-03-29T08:38:26","modified_gmt":"2025-03-29T08:38:26","slug":"hydrafacial-consent-form","status":"publish","type":"page","link":"https:\/\/allurebeautyandaesthetics.com.au\/paralowie\/hydrafacial-consent-form\/","title":{"rendered":"HydraFacial Consent Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"6614\" class=\"elementor elementor-6614\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c388766 e-flex e-con-boxed e-con e-parent\" data-id=\"c388766\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2a5adbf elementor-widget elementor-widget-text-editor\" data-id=\"2a5adbf\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"ff-el-group  ff-custom_html\" data-name=\"custom_html-8_1\"><h2>HydraFacial Consent Form<\/h2>\n<p>HydraFacial is the only hydra dermabrasion procedure that combines cleansing, exfoliation, extraction, hydration and antioxidant protection simultaneously, resulting in clearer, more beautiful skin with little-to-no downtime. The treatment is soothing, moisturizing, non-invasive and generally non-irritating. As with most procedures, &nbsp;visible results from HydraFacial will vary from person to person.<\/p>\n<p>What to expect:<\/p>\n<ul>\n<li>Your skin may experience temporary irritation, tightness, or redness. These are all normal reactions that typically resolve within 72 hours depending &nbsp;on skin sensitivity.<\/li>\n<li>You may experience tingling and stinging in the treatment area. These sensations generally subside within a few hours.<\/li>\n<li>Client experiences may vary. Some clients may experience a delayed onset of these symptoms.<\/li>\n<li>You will likely see results immediately after treatment and your skin may feel smooth and hydrated for one to four weeks with appropriate home care to maintain treatment results.<\/li>\n<li>The skin is more susceptible to sunburn\/sun damage. Avoid excessive sun exposure and use a minimum of SPF 40 sunscreen.<\/li>\n<\/ul>\n<p>Do you have any of the following?<\/p><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a1615fe elementor-widget elementor-widget-wpforms\" data-id=\"a1615fe\" data-element_type=\"widget\" data-widget_type=\"wpforms.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<style id=\"wpforms-css-vars-elementor-widget-a1615fe\">\n\t\t\t\t.elementor-widget-wpforms.elementor-element-a1615fe {\n\t\t\t\t--wpforms-field-size-input-height: 43px;\n--wpforms-field-size-input-spacing: 15px;\n--wpforms-field-size-font-size: 16px;\n--wpforms-field-size-line-height: 19px;\n--wpforms-field-size-padding-h: 14px;\n--wpforms-field-size-checkbox-size: 16px;\n--wpforms-field-size-sublabel-spacing: 5px;\n--wpforms-field-size-icon-size: 1;\n--wpforms-label-size-font-size: 16px;\n--wpforms-label-size-line-height: 19px;\n--wpforms-label-size-sublabel-font-size: 14px;\n--wpforms-label-size-sublabel-line-height: 17px;\n--wpforms-button-size-font-size: 17px;\n--wpforms-button-size-height: 41px;\n--wpforms-button-size-padding-h: 15px;\n--wpforms-button-size-margin-top: 10px;\n\n\t\t\t}\n\t\t\t<\/style><div class=\"wpforms-container wpforms-container-full wpforms-render-modern\" id=\"wpforms-6616\"><form id=\"wpforms-form-6616\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"6616\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/paralowie\/wp-json\/wp\/v2\/pages\/6614\" data-token=\"4618d4ebde0513ad2ca2167bb66a85de\" data-token-time=\"1776402439\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-hidden\" id=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-field-container\"><div id=\"wpforms-6616-field_1-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"1\"><fieldset><legend class=\"wpforms-field-label\">Active acne or infection  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-6616-field_1\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-6616-field_1_1\" name=\"wpforms[fields][1]\" value=\"Yes\" aria-errormessage=\"wpforms-6616-field_1_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6616-field_1_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-6616-field_1_2\" name=\"wpforms[fields][1]\" value=\"No\" aria-errormessage=\"wpforms-6616-field_1_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6616-field_1_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-6616-field_2-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"2\"><fieldset><legend class=\"wpforms-field-label\">Open lesion or cold sore <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-6616-field_2\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-6616-field_2_1\" name=\"wpforms[fields][2]\" value=\"Yes\" aria-errormessage=\"wpforms-6616-field_2_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6616-field_2_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-6616-field_2_2\" name=\"wpforms[fields][2]\" value=\"No\" aria-errormessage=\"wpforms-6616-field_2_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6616-field_2_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-6616-field_3-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"3\"><fieldset><legend class=\"wpforms-field-label\">An active infection in the treatment area <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-6616-field_3\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-6616-field_3_1\" name=\"wpforms[fields][3]\" value=\"Yes\" aria-errormessage=\"wpforms-6616-field_3_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6616-field_3_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-6616-field_3_2\" name=\"wpforms[fields][3]\" value=\"No\" aria-errormessage=\"wpforms-6616-field_3_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6616-field_3_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-6616-field_4-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"4\"><fieldset><legend class=\"wpforms-field-label\">Active sunburn <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-6616-field_4\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-6616-field_4_1\" name=\"wpforms[fields][4]\" value=\"Yes\" aria-errormessage=\"wpforms-6616-field_4_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6616-field_4_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-6616-field_4_2\" name=\"wpforms[fields][4]\" value=\"No\" aria-errormessage=\"wpforms-6616-field_4_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6616-field_4_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-6616-field_5-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"5\"><fieldset><legend class=\"wpforms-field-label\">Skin conditions such as eczema, dermatitis, or rashes <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-6616-field_5\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-6616-field_5_1\" name=\"wpforms[fields][5]\" value=\"Yes\" aria-errormessage=\"wpforms-6616-field_5_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6616-field_5_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-6616-field_5_2\" name=\"wpforms[fields][5]\" value=\"No\" aria-errormessage=\"wpforms-6616-field_5_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6616-field_5_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-6616-field_6-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"6\"><fieldset><legend class=\"wpforms-field-label\">An autoimmune disease such as lupus <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-6616-field_6\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-6616-field_6_1\" name=\"wpforms[fields][6]\" value=\"Yes\" aria-errormessage=\"wpforms-6616-field_6_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6616-field_6_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-6616-field_6_2\" name=\"wpforms[fields][6]\" value=\"No\" aria-errormessage=\"wpforms-6616-field_6_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6616-field_6_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-6616-field_7-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"7\"><fieldset><legend class=\"wpforms-field-label\">A viral concern such as HIV or hepatitis  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-6616-field_7\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-6616-field_7_1\" name=\"wpforms[fields][7]\" value=\"Yes\" aria-errormessage=\"wpforms-6616-field_7_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6616-field_7_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-6616-field_7_2\" name=\"wpforms[fields][7]\" value=\"No\" aria-errormessage=\"wpforms-6616-field_7_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6616-field_7_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-6616-field_8-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"8\"><fieldset><legend class=\"wpforms-field-label\">Anticoagulants Therapy <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-6616-field_8\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-6616-field_8_1\" name=\"wpforms[fields][8]\" value=\"Yes\" aria-errormessage=\"wpforms-6616-field_8_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6616-field_8_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-6616-field_8_2\" name=\"wpforms[fields][8]\" value=\"No\" aria-errormessage=\"wpforms-6616-field_8_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6616-field_8_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-6616-field_9-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"9\"><fieldset><legend class=\"wpforms-field-label\">Melanoma or lesions suspected of malignancy <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-6616-field_9\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-6616-field_9_1\" name=\"wpforms[fields][9]\" value=\"Yes\" aria-errormessage=\"wpforms-6616-field_9_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6616-field_9_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-6616-field_9_2\" name=\"wpforms[fields][9]\" value=\"No\" aria-errormessage=\"wpforms-6616-field_9_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6616-field_9_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-6616-field_10-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"10\"><fieldset><legend class=\"wpforms-field-label\">Pregnancy or lactation <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-6616-field_10\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-6616-field_10_1\" name=\"wpforms[fields][10]\" value=\"Yes\" aria-errormessage=\"wpforms-6616-field_10_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6616-field_10_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-6616-field_10_2\" name=\"wpforms[fields][10]\" value=\"No\" aria-errormessage=\"wpforms-6616-field_10_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6616-field_10_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-6616-field_11-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"11\"><fieldset><legend class=\"wpforms-field-label\">Neurological disorders such as epilepsy (LED Lights)  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-6616-field_11\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-6616-field_11_1\" name=\"wpforms[fields][11]\" value=\"Yes\" aria-errormessage=\"wpforms-6616-field_11_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6616-field_11_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-6616-field_11_2\" name=\"wpforms[fields][11]\" value=\"No\" aria-errormessage=\"wpforms-6616-field_11_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6616-field_11_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-6616-field_12-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"12\"><fieldset><legend class=\"wpforms-field-label\">Infection in the urinary system i.e. kidneys, bladder and urethra (Lymphatic drainage)  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-6616-field_12\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-6616-field_12_1\" name=\"wpforms[fields][12]\" value=\"Yes\" aria-errormessage=\"wpforms-6616-field_12_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6616-field_12_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-6616-field_12_2\" name=\"wpforms[fields][12]\" value=\"No\" aria-errormessage=\"wpforms-6616-field_12_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6616-field_12_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-6616-field_13-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"13\"><fieldset><legend class=\"wpforms-field-label\">Crohn\u2019s Disease (Lymphatic drainage)  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-6616-field_13\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-6616-field_13_1\" name=\"wpforms[fields][13]\" value=\"Yes\" aria-errormessage=\"wpforms-6616-field_13_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6616-field_13_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-6616-field_13_2\" name=\"wpforms[fields][13]\" value=\"No\" aria-errormessage=\"wpforms-6616-field_13_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6616-field_13_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-6616-field_14-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"14\"><fieldset><legend class=\"wpforms-field-label\">Hyperthyroidism (Lymphatic drainage) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-6616-field_14\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-6616-field_14_1\" name=\"wpforms[fields][14]\" value=\"Yes\" aria-errormessage=\"wpforms-6616-field_14_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6616-field_14_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-6616-field_14_2\" name=\"wpforms[fields][14]\" value=\"No\" aria-errormessage=\"wpforms-6616-field_14_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6616-field_14_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-6616-field_15-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"15\"><fieldset><legend class=\"wpforms-field-label\">Deep Venous Thrombosis (Lymphatic drainage) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-6616-field_15\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-6616-field_15_1\" name=\"wpforms[fields][15]\" value=\"Yes\" aria-errormessage=\"wpforms-6616-field_15_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6616-field_15_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-6616-field_15_2\" name=\"wpforms[fields][15]\" value=\"No\" aria-errormessage=\"wpforms-6616-field_15_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6616-field_15_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-6616-field_16-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"16\"><fieldset><legend class=\"wpforms-field-label\">Lymphedema (Lymphatic drainage) <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-6616-field_16\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-6616-field_16_1\" name=\"wpforms[fields][16]\" value=\"Yes\" aria-errormessage=\"wpforms-6616-field_16_1-error\" aria-describedby=\"wpforms-6616-field_16-description\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6616-field_16_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-6616-field_16_2\" name=\"wpforms[fields][16]\" value=\"No\" aria-errormessage=\"wpforms-6616-field_16_2-error\" aria-describedby=\"wpforms-6616-field_16-description\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6616-field_16_2\">No<\/label><\/li><\/ul><div id=\"wpforms-6616-field_16-description\" class=\"wpforms-field-description\"><br \/><br \/><h2>Have you recently?\n\n<\/h2><\/div><\/fieldset><\/div><div id=\"wpforms-6616-field_17-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"17\"><fieldset><legend class=\"wpforms-field-label\">Used Accutane, topical medications or antibiotics  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-6616-field_17\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-6616-field_17_1\" name=\"wpforms[fields][17]\" value=\"Yes\" aria-errormessage=\"wpforms-6616-field_17_1-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6616-field_17_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-6616-field_17_2\" name=\"wpforms[fields][17]\" value=\"No\" aria-errormessage=\"wpforms-6616-field_17_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6616-field_17_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-6616-field_18-container\" class=\"wpforms-field wpforms-field-radio wpforms-list-inline\" data-field-id=\"18\"><fieldset><legend class=\"wpforms-field-label\">Had aesthetic fillers, injectables or laser treatments  <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/legend><ul id=\"wpforms-6616-field_18\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-6616-field_18_1\" name=\"wpforms[fields][18]\" value=\"Yes\" aria-errormessage=\"wpforms-6616-field_18_1-error\" aria-describedby=\"wpforms-6616-field_18-description\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6616-field_18_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-6616-field_18_2\" name=\"wpforms[fields][18]\" value=\"No\" aria-errormessage=\"wpforms-6616-field_18_2-error\" aria-describedby=\"wpforms-6616-field_18-description\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-6616-field_18_2\">No<\/label><\/li><\/ul><div id=\"wpforms-6616-field_18-description\" class=\"wpforms-field-description\"><br \/><br \/>\n<div class=\"ff-el-group ff-custom_html\"><p>I acknowledge the following:<\/p>\n<ul>\n<li>I will avoid the use of aggressive exfoliation, waxing, and products containing glycolic acids or retinols that are not part of the recommended \u00a0take-home regimen in the treated areas \u00a0for minimum 2 weeks pre- and post-treatment.<\/li>\n<li>Photos may be taken before, during and after the HydraFacial treatment. Photos will only be used with my written approval for education, promotion or advertising purposes.<\/li>\n<li>The information provided has been explained to me and all my questions have been answered to my satisfaction. I have read the above \u00a0information, and I give my consent to have the HydraFacial treatment by the staff at <u>\u00a0<\/u>Allure Beauty and Aesthetics<u>.<\/u><\/li>\n<li>By signing below, I acknowledge that I have read the above information and give my consent to be treated with the HydraFacial System. This consent form Is valid for all future HydraFacial treatments.<\/li>\n<\/ul>\n<p>I will \u00a0alert the staff If there are any future changes \u00a0to my medical history.<\/p><\/div><\/div><\/fieldset><\/div><div id=\"wpforms-6616-field_19-container\" class=\"wpforms-field wpforms-field-layout\" data-field-id=\"19\"><div class=\"wpforms-field-layout-rows wpforms-field-large\"><div class=\"wpforms-layout-row\"><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-6616-field_20-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-6616-field_20\">Patient Signature<\/label><input type=\"text\" id=\"wpforms-6616-field_20\" class=\"wpforms-field-medium\" name=\"wpforms[fields][20]\" aria-errormessage=\"wpforms-6616-field_20-error\" ><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-6616-field_21-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-6616-field_21\">Patient Name <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-6616-field_21\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][21]\" aria-errormessage=\"wpforms-6616-field_21-error\" required><\/div><\/div><div class=\"wpforms-layout-column wpforms-layout-column-33\"><div id=\"wpforms-6616-field_22-container\" class=\"wpforms-field wpforms-field-date-time\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-6616-field_22\">Date<\/label><div class=\"wpforms-datepicker-wrap\"><input type=\"text\" id=\"wpforms-6616-field_22\" class=\"wpforms-field-date-time-date wpforms-datepicker wpforms-field-medium\" data-date-format=\"m\/d\/Y\" data-disable-past-dates=\"0\" data-input=\"true\" name=\"wpforms[fields][22][date]\" aria-errormessage=\"wpforms-6616-field_22-error\" ><a title=\"Clear Date\" data-clear class=\"wpforms-datepicker-clear\" style=\"display:none;\"><\/a><\/div><\/div><\/div><\/div><\/div><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"6616\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/allurebeautyandaesthetics.com.au\/paralowie\/wp-json\/wp\/v2\/pages\/6614\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-6616\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img decoding=\"async\" src=\"https:\/\/allurebeautyandaesthetics.com.au\/paralowie\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>HydraFacial Consent Form HydraFacial is the only hydra dermabrasion procedure that combines cleansing, exfoliation, extraction, hydration and antioxidant protection simultaneously, resulting in clearer, more beautiful skin with little-to-no downtime. The treatment is soothing, moisturizing, non-invasive and generally non-irritating. As with most procedures, &nbsp;visible results from HydraFacial will vary from person to person. What to expect:&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-6614","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/allurebeautyandaesthetics.com.au\/paralowie\/wp-json\/wp\/v2\/pages\/6614","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/allurebeautyandaesthetics.com.au\/paralowie\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/allurebeautyandaesthetics.com.au\/paralowie\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/allurebeautyandaesthetics.com.au\/paralowie\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/allurebeautyandaesthetics.com.au\/paralowie\/wp-json\/wp\/v2\/comments?post=6614"}],"version-history":[{"count":7,"href":"https:\/\/allurebeautyandaesthetics.com.au\/paralowie\/wp-json\/wp\/v2\/pages\/6614\/revisions"}],"predecessor-version":[{"id":6624,"href":"https:\/\/allurebeautyandaesthetics.com.au\/paralowie\/wp-json\/wp\/v2\/pages\/6614\/revisions\/6624"}],"wp:attachment":[{"href":"https:\/\/allurebeautyandaesthetics.com.au\/paralowie\/wp-json\/wp\/v2\/media?parent=6614"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}