Gervais Day Spa Salon Chemical Service Waiver Form
This file contains the Chemical Service Waiver Form for Gervais Day Spa & Salon in Medford, Oregon. It provides essential instructions and liability information related to chemical services. Users must fill out the form prior to receiving any chemical service in the salon.
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How do I fill this out?
To fill out this form, start by providing your personal details at the top of the document. Next, carefully read through the instructions and tips provided to ensure you understand the service requirements. Finally, sign the form to acknowledge your understanding and agreement with the waiver terms.

How to fill out the Gervais Day Spa Salon Chemical Service Waiver Form?
1
Read the instructions carefully.
2
Fill in your personal information.
3
Indicate any previous hair treatments.
4
Sign the form indicating your agreement.
5
Submit the form prior to your scheduled service.
Who needs the Gervais Day Spa Salon Chemical Service Waiver Form?
1
Clients planning to get chemical hair treatments.
2
New customers at Gervais Day Spa & Salon.
3
Clients who have recently changed their hair treatments.
4
Anyone concerned about potential chemical reactions.
5
Individuals attending a special event who need hair services.
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What are the instructions for submitting this form?
To submit the completed Chemical Service Waiver Form, you may email it to info@gervaisdayspa.com or fax it to (541) 779-7111. Printed forms can also be brought directly to the salon at 111 North Central Avenue, Medford, Oregon. Ensure you submit the form prior to your scheduled appointment for a smooth service experience.
What are the important dates for this form in 2024 and 2025?
For 2024, all clients should ensure this form is submitted prior to any chemical service. The same applies for 2025, ensuring compliance with salon policies. These dates are essential to maintain a smooth and safe service delivery.

What is the purpose of this form?
The Chemical Service Waiver Form is designed to inform clients about the potential risks associated with chemical hair treatments. It ensures that clients provide accurate information about their hair history to achieve the best results. By signing this form, clients acknowledge their understanding of the service conditions and any associated risks.

Tell me about this form and its components and fields line-by-line.

- 1. Customer Signature: Space for the client to sign, confirming their acceptance of the terms.
- 2. Date: The date when the form is filled out.
- 3. Customer Printed Name: Area for the client to print their name clearly.
- 4. Technician Signature: Space for the technician to sign after providing the service.
- 5. Technician Date: The date when the technician signs the form.
What happens if I fail to submit this form?
Failing to submit this form can postpone your scheduled service at Gervais Day Spa & Salon. Without the waiver, technicians cannot proceed with chemical treatments due to liability concerns. It is critically important to ensure the form is completed and submitted in advance.
- Service Postponement: Your appointment may be delayed until the required form is completed.
- Inability to Proceed with Treatment: Technicians cannot provide chemical services without this signed waiver.
- Potential Liability Issues: Failure to disclose necessary information may lead to unforeseen issues during treatment.
How do I know when to use this form?

- 1. Before Receiving Chemical Services: Complete the form to disclose your hair history before service.
- 2. For First-Time Visitors: Essential for new clients to inform technicians about prior treatments.
- 3. When Changing Hair Products: Necessary when switching to new chemical services or products.
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