Georgetown Allure Medical Spa Consent Waiver Agreement
I hereby acknowledge and fully understand that this Agreement sets forth the terms and conditions under which I will receive services from Georgetown Allure Medical Spa. By affixing my signature below, I confirm my understanding and express agreement to be legally and fully bound by these terms.
Client Rights
Informed Consent: I acknowledge having received comprehensive, detailed information about the treatments, including but not limited to their potential risks, benefits, and viable alternatives. I confirm that Georgetown Allure has satisfactorily fulfilled my right to be informed, ensuring my complete understanding of the treatments I may undergo.
Confidentiality and Respect: I recognize and value the commitment of Georgetown Allure to respect my right to privacy. I hereby acknowledge that all my personal and health information is to be handled with the utmost level of confidentiality and respect.
Patient Responsibilities
Adherence to Instructions: I pledge to diligently follow all pre and post-treatment instructions provided by the spa, acknowledging the importance of such compliance for the effectiveness and safety of the treatments.
Accurate Medical History: I confirm that I have provided a comprehensive and truthful account of my medical history,
including disclosures about all medications, drug use, allergies, and past medical interventions.
Compliance with Spa Guidelines: I agree to rigorously adhere to all spa guidelines and policies, including, but not limited to, the cancellation policy, membership policy, and other terms and conditions as set forth by Georgetown Allure Medical Spa.
Treatment Consent
Authorization for Procedures: I hereby give my explicit consent to allow qualified and designated practitioners at Georgetown Allure Medical Spa to perform skin and body enhancement treatments. This consent covers treatments on all specified body areas, including but not limited to the face, neck, and décolletage.
Comprehensive Understanding of Treatment Impact: I acknowledge having been informed of both the benefits and potential risks associated with the treatments. I understand that individual results may vary based on factors like age, skin condition, and lifestyle, and that no guaranteed outcomes have been promised.
Treatment Suitability
Consent to Treatment Decisions: I fully understand and agree to trust the professional judgment and expertise of the spa staff at Georgetown Allure Medical Spa. I consent to their decisions regarding the suitability of specific treatments tailored to my unique condition and needs. This trust extends to their assessment of which treatments are most appropriate for me based on their professional evaluation of my medical history, current health status, and desired outcomes.
Acknowledgment of Expertise: I recognize that the spa staff are trained and experienced in recommending and administering treatments. I value their knowledge and expertise in suggesting the best course of action for my skincare and wellness goals.
Flexibility in Treatment Plans: I am aware that as part of the treatment process, the spa staff may need to adjust or modify my treatment plan to respond to my individual responses to treatments or evolving skincare needs. I accept these adjustments as necessary steps to achieve the best possible results.
Collaborative Approach: I commit to actively participating in discussions about my treatment plan and to openly communicate my concerns, expectations, and any discomfort I may experience during my treatment journey.
Service Quality Assurance
Acknowledgment of Service Adaptation Rights: I fully understand and acknowledge that Georgetown Allure Medical Spa reserves the unequivocal right to modify, adapt, or update its services and treatment protocols. I agree that these adjustments are necessary to maintain the highest standards of service quality, client safety, and overall spa experience.
Feedback on Service Changes: I agree to provide timely and honest feedback regarding any changes in services or treatments I experience. My input will be considered constructive and used to further enhance service quality.
Financial Agreement
Financial Obligation Acknowledgment: I hereby affirm my commitment to meet all financial responsibilities associated with the treatments as clearly outlined by Georgetown Allure. I acknowledge that the fee structure has been transparently communicated to me, and I consent to the stipulated charges.
Health and Safety Compliance
Commitment to Adherence: I hereby express my commitment to diligently follow all health and safety protocols as prescribed by Georgetown Allure Medical Spa. This includes adhering to general safety guidelines as well as specific protocols tailored to each treatment I receive. I understand that these protocols are in place to safeguard my health and well-being, as well as that of the spa staff and other clients.
Understanding of Protocol Importance: I recognize the critical importance of these health and safety measures, especially in the context of aesthetic and skincare treatments. I am aware that failure to follow these guidelines can result in adverse effects to my health and potentially compromise the quality of the treatment.
Active Participation in Safety Measures: I commit to actively participating in and complying with all safety measures, including but not limited to, providing accurate health information, following pre and post-treatment care instructions, and adhering to recommended lifestyle guidelines that affect treatment outcomes.
Acknowledgment of Service Limitations and Quality Assurance: I fully acknowledge that Georgetown Allure Medical Spa holds the right to modify, adjust, or update its services and treatment offerings. These changes are made to ensure the highest standards of quality and safety in service provision. I agree to any such changes, understanding they are designed for the betterment of service quality and client care.
Exculpatory Clause
Waiver of Legal Claims: I explicitly waive any right to initiate legal action against Georgetown Allure Medical Spa for any reasons that are related to the services provided, my involvement in business operations, or my presence within the premises of the spa.
Data Privacy
Personal Data Management Consent: I give my explicit consent for the careful handling and management of my personal and health-related data, in strict accordance with applicable privacy laws and regulations.
Voluntary Assumption of Risk
Full Acceptance of Risks: I fully understand and accept the inherent risks associated with spa activities and treatments. I acknowledge that I have had ample opportunity to discuss any concerns and have all my questions satisfactorily answered.
Indemnity Clause
Agreement to Indemnify: In the interest of mutual protection, I agree to indemnify and hold harmless Georgetown Allure from any legal costs or liabilities that may arise from my involvement with their services or as a consequence of any incidents occurring in connection with the business operations.
COVID-19 Specific Clause
Pandemic Safety Acknowledgment and Compliance: I am fully aware of the ongoing risks associated with COVID-19. I hereby agree to abide by all safety measures and protocols implemented by Georgetown Allure Medical Spa in response to the pandemic.
Appointment Changes and Cancellations
72-Hour Notice Requirement: I understand the necessity of providing a minimum 72-hour notice for any appointment changes to avoid incurring cancellation or rescheduling fees.
Rescheduling Fee Acknowledgment: I am aware that a rescheduling fee of $100 will be charged if I reschedule an appointment within 72 hours of its scheduled time.
No-Show Policy Agreement: I agree to a no-show fee of $200, charged for failing to confirm an appointment change up to 24 hours before the scheduled time.
Grace Period Understanding: I acknowledge a grace period of 10 minutes for appointments. Beyond this period, the appointment will be considered a no-show.
General Membership Terms (applicable only upon joining a membership)
Minimum Membership Commitment: I understand that a minimum commitment of three months is required for all membership levels at Georgetown Allure Medical Spa.
Billing and Credit Accumulation: I agree that membership fees will be billed on the first of each month. I am aware that I can accumulate up to a maximum of three monthly credits, and any excess credits will convert to retail credit, which will expire upon membership cancellation.
Active Membership Definition: An active membership is defined as having a membership charge within the last 90 days.
Automatic Membership Cancellation: I acknowledge that memberships without a monthly membership charge for 120 days will be deemed inactive and automatically canceled, leading to the forfeiture of all accumulated credits.
Credit Card Requirement: I understand and agree that having a credit card on file is a mandatory requirement for all members at Georgetown Allure Medical Spa.
Agreement to All Terms and Conditions: I hereby confirm my agreement to allterms and conditions associated with the membership, including any limitations or conditions on the usage of membership benefits.
Service Limitations Acknowledgment: I am aware that certain treatments may require additional medical consent and might not be suitable for all members due to specific health conditions.
Data Privacy and Service Quality Assurance: I consent to the management of my personal and health-related member data in strict compliance with privacy laws and regulations. I also acknowledge the spa's right to modify or update services to ensure the highest standards of quality and safety.
Guest Pass Eligibility and Usage: As an active member, I am entitled to guest passes under specific conditions. These passes are reserved for new, first-time patients, issued every three visits, and must be utilized at the 3-visit milestone.
Member Responsibility for Guests: I accept full responsibility for any no-shows or late cancellations by my invited guests, except in cases where the guest has provided their credit card details for billing purposes.
Cancellation Policy
Cancellation Method and Notice Period: I understand that membership cancellations are to be made via email to info@georgetownallure.com at least 15 days prior to the next billing cycle. Cancellations are not accepted by phone or in person.
Dues Clearance Before Cancellation: I agree that all dues must be settled before the cancellation of my membership can be processed.
Credit Forfeiture Upon Cancellation: I acknowledge that upon cancellation of my membership, any unused credits will be forfeited.
Non-Payment and Membership Cancellation: I am aware that if there is non-payment for a period of 120 days, my membership will be canceled, and any accumulated credits will be lost.
Membership Pause Request and Notice Period: I understand that I can request to pause my membership at any time via email to info@georgetownallure.com, provided that the request is made at least 15 days prior to the next billing cycle. Requests to pause the membership are not accepted by phone or in person.
Pause Duration and Automatic Restart: I agree that my membership can be paused for up to a maximum duration of 3 months, after which the membership will automatically restart.
Agreement Confirmation
Comprehensive Understanding and Full Agreement: I hereby confirm my complete understanding and acceptance of all terms, conditions, and policies, including detailed treatment procedures, financial obligations, membership terms, and safety protocols associated with Georgetown Allure Medical Spa. I acknowledge that all necessary information has been provided to me in a clear and understandable manner, and I confirm that I have no further questions, doubts, or concerns regarding any aspect of this agreement.
Harm Free Agreement: In signing this agreement, I agree to hold Georgetown Allure Medical Spa harmless from any complications, issues, or liabilities that may arise before, during, or after receiving services at any point. This includes, but is not limited to, any complications resulting from treatments, involvement in business operations, or presence within the premises of the spa.
Electronic Signature Acknowledgment: By selecting "Agree" and providing my electronic signature below, I am legally binding myself to the terms and conditions of this waiver agreement.
Financial Commitment payment plan:
I hereby acknowledge and fully understand that any finance plan, including those with Cherry, Affirm, and CareCredit, is strictly non-cancellable and non-refundable, regardless of the policies set forth by these financial providers.
Return Policy:
All sales are final. no refunds. no exchange.