• Elite Spa Lounge Virtual & In-Clinic Consultation-Skin Investment Consent Form

    This consultation is designed for clients who are serious about improving their skin and are financially prepared to invest in a customized treatment plan that gets results.
  • Format: (000) 000-0000.
  • What is your current budget for professional-grade skincare products? (Please note that effective skincare requires an investment, and your treatment plan will be tailored to your budget.)*
  • If you qualify for financing, how much are you comfortable spending monthly on skincare and treatments? (Select one)*
  • If your skincare budget is $100/month or less, please make sure to pre-qualify through Cherry or CareCredit before booking your consultation.


    We do not offer personal payment plans at Elite Spa Lounge you must use one of our partners.

    If $100/month is your max, financing must be secured through Cherry or CareCredit in advance. Otherwise, we won’t be able to move forward with a custom treatment plan, as our plans typically start at $700 and up.

    If your Cherry approval is under $400, you will need to have additional funds available to match your plan, as most treatment programs begin at $700+ 

    If you need the link to apply for Cherry, please refer back to the original text message where you received this form.

    Questions? Text us at  (754)276-7175.

  • Have you checked to see if you pre-qualify for financing of at least $700+?*
  • Please Read:

     While some clients may only need professional-grade skincare products to improve their skin, which typically starts around $700. Others may require a combination of products and professional treatments to fully address their concerns.

    These treatments, which can be done virtually or in-clinic, include options like chemical peels such as the Cosmelan Peel, which can bring your total investment to $2,000–$3,000+, depending on what your skin needs.

    We’ll determine the best plan for you during your consultation, but we recommend pre-qualifying through Cherry or CareCredit in case your skin requires more than products alone.

  • When do you plan to start your skincare journey?*
  • It looks like your budget is below our minimum investment. Please book a consultation when you're ready to start your journey with a budget of at least $500. Text us when you're ready at (754)276-7175.

  • It looks like you're not ready to begin just yet! Please reschedule your consultation when you're ready to invest in your skin. We’ll be happy to help you when the time is right for you. Text us at (754)276-7175

  • Are you ready to purchase the recommended skincare products on the day of your consultation? (If not, please book at a later date when you are ready to invest in your skin.)*
  • Acknowledgment & Payment Policy*
  • Date of Birth*
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    2 digit month, 2 digit day, 4 digit year
  • Date*
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    2 digit month, 2 digit day, 4 digit year
  • PLEASE READ BEFORE SUBMITTING 

  • By submitting this form, you confirm that you are financially prepared to invest in clinical-grade skincare and/or treatments, with product plans starting at $700+. If you qualify for financing, flexible payment options may be available. 

    If you do not make a purchase during your consultation, whether due to financing limits or personal decision, a $150 consultation fee will be charged, which may be credited toward a future purchase.

    This is a professional consultation with recommendations and education tailored to you. It is not a free advice session.

    If this does not align with your budget at this time, please reschedule your consultation for a later date.

    Call or Text at (754)276-7175

  • ELITE SPA LOUNGE
    CLIENT CONSENT, POLICIES & SERVICE AGREEMENT
    Thank you for choosing Elite Spa Lounge. Our goal is to provide professional, personalized skincare services designed to support the health and appearance of your skin. Please read the following information carefully before receiving services.

    By signing this agreement, you acknowledge that you have read, understand, and agree to the policies and terms outlined below.


    1. CLIENT DISCLAIMER & EXPECTATIONS
    Elite Spa Lounge provides professional esthetic skincare services designed to address individual skin concerns. Services and recommendations are customized based on the information provided by the client and the condition and needs of the client's skin at the time of service.

    Individual results vary. No specific result or outcome can be guaranteed.

    Results may be affected by factors including, but not limited to:

    Individual skin type and condition
    Hormonal and other physiological factors
    Lifestyle and environmental factors
    Homecare practices
    Product usage and consistency
    Compliance with recommended aftercare
    The client's response to treatments and products
    Elite Spa Lounge will make reasonable efforts to provide appropriate services and recommendations based on the information available at the time of consultation and treatment.


    2. CLIENT RESPONSIBILITY & DISCLOSURE
    Clients are responsible for providing complete and accurate information regarding their skin, health history, allergies, medications, current skincare products, previous treatments, and any other information that may affect their eligibility for a service.

    Clients agree to notify Elite Spa Lounge of any changes to their health, medications, skin condition, or other relevant circumstances before receiving subsequent services.

    Failure to disclose relevant information may increase the risk of irritation, adverse reactions, complications, or other unwanted results.

    Elite Spa Lounge reserves the right to postpone, modify, or decline a service when information provided by the client indicates that the service may be contraindicated or inappropriate.


    3. SCOPE OF ESTHETIC SERVICES
    Elite Spa Lounge provides esthetic skincare services and skincare education within the scope of services permitted by applicable law.

    Our services and recommendations are not intended to diagnose, treat, or cure medical diseases or conditions.

    Elite Spa Lounge does not provide medical diagnoses. If a skin concern appears to require medical evaluation, the client may be advised to consult an appropriately licensed physician, dermatologist, or other qualified healthcare professional.

    Clients are responsible for seeking medical care when appropriate.


    4. TREATMENT CONSENT
    By signing this agreement, I voluntarily consent to receive the esthetic services selected from Elite Spa Lounge.

    I understand that skincare treatments may involve temporary redness, sensitivity, dryness, peeling, irritation, swelling, or other expected or unexpected skin responses depending on the service performed and my individual skin condition.

    I understand that individual reactions vary and that following pre-treatment and aftercare instructions is an important part of achieving the best possible outcome.

    I agree to immediately inform my service provider of any discomfort, unusual reaction, or concern during or following a service.


    5. AFTERCARE & HOMECARE
    I understand that following all aftercare instructions and recommended homecare is an important part of supporting my skin and maintaining treatment results.

    Elite Spa Lounge is not responsible for results negatively affected by failure to follow provided aftercare instructions or by the improper use of products.

    Clients should use products only as directed and should contact Elite Spa Lounge with questions or concerns regarding recommended products or aftercare.


    6. APPOINTMENT CANCELLATION & RESCHEDULING POLICY
    A minimum of 48 hours' notice is required to cancel or reschedule an appointment.

    Appointments cancelled or rescheduled with less than 48 hours' notice may be subject to a $150 cancellation/rescheduling fee, which may be charged to the card on file.

    By signing this agreement, I authorize Elite Spa Lounge to charge the applicable fee to my card on file in accordance with this policy.

    Elite Spa Lounge may make reasonable exceptions at its discretion for documented emergencies or circumstances deemed appropriate.


    7. LATE ARRIVALS
    Clients arriving more than 15 minutes late may need to have their appointment shortened, modified, or rescheduled depending on the service and availability.

    If the appointment must be rescheduled because of a late arrival, the applicable cancellation or missed-appointment fee may apply.


    8. VIRTUAL CONSULTATIONS
    Virtual consultations are intended to provide personalized skincare education, guidance, product recommendations, and treatment planning based on the information and photographs provided by the client.

    Clients are responsible for providing accurate information and clear photographs when requested.

    Elite Spa Lounge may recommend an in-person consultation or referral to an appropriate healthcare professional when a concern cannot be adequately evaluated virtually.

    Virtual appointments must be confirmed as requested by Elite Spa Lounge. Failure to confirm an appointment within the required timeframe may result in cancellation of the appointment.


    9. PRODUCT SALES, RETURNS & EXCHANGES
    Due to the nature of skincare and personal-use products, all product sales are final.

    Products that have been opened, used, or removed from the spa may not be returned or exchanged.

    If a product is defective or arrives damaged during shipping, please contact Elite Spa Lounge as soon as possible.

    For virtual clients, please email elitespabeautylounge@gmail.com and provide photographs or video documenting the damaged or defective product.

    Any replacement or exchange will be handled in accordance with the applicable manufacturer's policies.


    10. TREATMENT PACKAGES
    Treatment packages, including facial packages, chemical peel packages, microneedling packages, and other prepaid service packages, are non-refundable once purchased.

    11. PHOTO & VIDEO CONSENT
    Elite Spa Lounge may request photographs or video of my skin before, during, or after treatment for documentation of my skincare progress.

    I understand that treatment documentation may be maintained as part of my client record.

    Marketing Authorization
    I understand that Elite Spa Lounge may also request permission to use photographs or videos for educational, promotional, advertising, website, and social media purposes.

    Marketing use is optional and is separate from my consent to receive services.

    Elite Spa Lounge asks to use your photographs and/or videos for marketing, promotional, educational, website, and social media purposes.

    If I provide marketing authorization, I understand that content shared publicly may be viewed, saved, downloaded, or reposted by third parties outside of Elite Spa Lounge's control.


    12. COMMUNICATION & CLIENT INFORMATION
    I understand that Elite Spa Lounge may communicate with me regarding appointments, treatment instructions, product recommendations, and other information related to my services using the contact information I provide.

    I agree to maintain accurate contact information and notify Elite Spa Lounge of any changes.


    13. DISPUTE RESOLUTION
    Any dispute arising out of or relating to services provided by Elite Spa Lounge will be addressed in accordance with applicable Florida law and any legally enforceable dispute-resolution provisions contained in this agreement.

    Important: Any arbitration provision, limitation of liability, or waiver of the right to pursue a claim in court should be reviewed and approved by qualified Florida legal counsel before being included as a binding provision of this agreement.


    14. ELECTRONIC SIGNATURE
    I understand that this agreement may be completed and signed electronically.

    I agree that my electronic signature has the same legal effect as a handwritten signature to the extent permitted by applicable law.


    CLIENT ACKNOWLEDGMENT
    By signing below, I acknowledge that:

    I have read and understand this agreement.
    I have had an opportunity to ask questions about the services and policies.
    I have provided accurate and complete information to the best of my knowledge.
    I understand that individual skincare results vary and are not guaranteed.
    I understand the importance of following recommended aftercare and homecare instructions.
    I understand that Elite Spa Lounge provides esthetic skincare services and does not provide medical diagnoses.
    I understand the cancellation, rescheduling, late-arrival, product, and treatment-package policies outlined above.
    I have separately indicated whether I authorize the use of my photographs and/or videos for marketing purposes.
    By signing below, I voluntarily agree to the terms and policies contained in this Client Consent, Policies & Service Agreement.


    Thank you for choosing Elite Spa Lounge.

    We are committed to providing a professional, personalized skincare experience and supporting you throughout your skincare journey.

    Elite Spa Lounge
    Your Elite Experience Awaits.

  • I understand and give permission to Elite Spa Lounge to use my photographs or videos for educational, promotional, advertising, website, and social media purposes. Marketing use is optional and is separate from my consent to receive services. Please select one:*
  • My Products

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    Virtual Consultation. After determining your skin goals, professional grade skin care products will be offered after consultation. If you decide to purchase any of the recommendations they will be shipped directly to you with a detailed guide .
    Virtual Consultation

    After determining your skin goals, professional grade skin care products will be offered after consultation. If you decide to purchase any of the recommendations they will be shipped directly to you with a detailed guide . 

    $25.00$25.00
      
    Total
    $0.00$0.00

    Payment Methods

    creditcard
    After submitting the form, you will be redirected to Apple Pay to complete the payment.
    After submitting the form, you will be redirected to Google Pay to complete the payment.
    After submitting the form, you will be redirected to Afterpay to complete the payment.
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