Chemical Peel Release/Waiver

If you are a licensed professional purchasing chemical peel products with concentrations of 20% or greater, please complete and submit this waiver form.

RELEASE/WAIVER

The undersigned represents and warrants that (s)he is a licensed skin care professional in the state in which (s)he practices.

The undersigned further understands that chemical peeling solutions with concentrations of 20% or greater, including but not limited to Glycolic Acid, Lactic Acid, Salicylic Acid, TCA (Trichloroacetic Acid), and combination peels, are professional-grade products intended for use only by trained and licensed professionals.

The undersigned acknowledges that improper use of professional-grade chemical peeling solutions can result in serious skin damage, scarring, burns, hyperpigmentation, and other adverse effects.

The undersigned agrees to:

  • Use all chemical peeling products strictly in accordance with manufacturer guidelines and professional training
  • Perform appropriate patch tests before full application on clients
  • Maintain proper client consultation records and informed consent documentation
  • Not resell professional-grade products to unlicensed individuals or the general public
  • Accept full responsibility for the proper and safe use of all products purchased

By signing below, the undersigned releases and holds harmless A Natural Difference, its owners, officers, employees, and agents from any and all claims, damages, losses, costs, and expenses arising from the use or misuse of professional-grade chemical peeling products purchased from A Natural Difference.

This waiver shall remain in effect for all future purchases of professional-grade chemical peeling products unless revoked in writing.

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