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I, , hereby waive the opportunity to be evaluated by a physician in the G Spa International, to ensure that I don’t have any medical conditions that may interfere on using any of the prescription products enumerated below:
I clearly understand the contraindications and side effects of using such products as well as the recommended guidelines to achieve my desired results. Thus, I release the G Spa International from any liabilities of skin reactions that may occur within the treatment period.
Patient’s Name Date
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