Xeomin Treatment Consent & Policy Agreement
LIPS & BODY BY JESS
By reviewing and completing this online form, you acknowledge that you have read, understood, and agree to the terms outlined in the ‘Lips & Body By Jess: Xeomin Treatment Consent & Policy Agreement.’ Your submission constitutes your informed consent to proceed in accordance with these terms.
Treatment Consent
I understand that:
Xeomin treatment involves injection of botulinum toxin to temporarily relax facial muscles and reduce wrinkles or fine lines.
Results vary by individual and cannot be guaranteed.
Possible side effects include temporary bruising, swelling, redness, mild pain at injection site, headache, asymmetry, drooping eyelids, or rare systemic effects.
I must follow all pre- and post-treatment instructions provided by the practitioner.
I have disclosed all relevant medical information truthfully.
I have had the opportunity to ask questions and understand the procedure, risks, alternatives, and expected outcomes.
I voluntarily consent to receive Xeomin treatment at Lips & Body by Jess.
Clinic Policies
Booking & Deposit Policy
A $25 non-refundable deposit is required to secure your appointment.
This deposit will be applied toward your total on the day of service.
No-shows or late cancellations will result in forfeiture of the deposit.
Late Arrival Policy
A 10-minute grace period is allowed.
Clients arriving more than 10 minutes late may need to reschedule, and the deposit will be held.
Touch-Up Policy
Touch-up services are available within 1–3 months of your initial appointment.
If additional product is required, extra charges may apply.
Refund Policy
All deposits and services are non-refundable.
Results vary per individual and cannot be guaranteed.
Consultation & Medical Disclosure
Every service includes a consultation.
Clients must disclose all allergies, medical conditions, or relevant health history prior to treatment.
The provider reserves the right to decline service if you are not a suitable candidate.
Contacts
lipsbyjess915@outlook.com
915-990-6073
Address
300 N. Resler, El Paso, TX 79912
Opening hours
Monday - Sunday: Closed
Tuesday - Friday: 9:00 - 18:00
Saturday: 9:00 - 16:00


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