Due to the popularity of our unique services, we highly recommend you make your reservation in
We require 24 hour notice to cancel or reschedule an appointment. Any cancellation within
24hrs, or no show, will incur a $35 fee. Please initial to acknowledge this_________
Please arrive 5-10 minutes prior to your reservation to allow time for check-in and a few
moments to relax. Appointments cannot be extended due to late arrivals and will shorten the
duration of the service.
To avoid adverse reactions, please notify us of any medications you are using, including
anything from a dermatologist and remind us of this prior to each service. We would rather err
on the side of caution.
If you have any sensitivities or allergies to products or ingredients, please remind your
esthetician each time prior to your service. Once again, we would rather be overly cautious than
We recommend you not bring valuables with you for your treatment. We are not responsible for
lost or misplaced items.
Gift certificates may be transferred, but not refunded.
A $15.00 charge will be incurred for return checks.
Price lists are available at the front desk.
Merchandise credit or exchanges given upon approval.
Unfortunately, cash refunds cannot be given.
We reserve the right to refuse service to any individual.
will occasionally be obtained for our records. In the event a picture is used for educational or
marketing purposes, identifying features will be removed. Please initial to acknowledge this
I acknowledge that the practice of skin care including micro-current treatments, microdermabrasion,
ultrasound treatments, LED treatments, chemical peels, enzyme peels, facials, lasers, IPL, massage
therapy and body treatments, and other various beauty treatments is not an exact science and that
no specific guarantees can or have been made concerning the expected result. I understand that some
clients experience more change and improvement than others. In virtually all cases, multiple
treatments are required in order to realize a difference.
I also understand that the following risks and hazards may occur in connection with any particular
treatment – included but not limited to: unsatisfactory results, poor healing, discomfort, redness,
blistering and scarring. I understand that even though precautions may be taken in my treatment,
not all risks can be known in advance.
I verify that all information is correct and current to the best of my knowledge. I understand that
any information provided is for safety purposes and will be kept strictly confidential. I hereby
give my consent to receive massage, skincare or acupuncture services and/or other bodywork or
treatment (the “Services”). My health and safety with respect to such Services and Facility are my
sole responsibility. My decision to receive Services from Helen’s Haven or Valorie Ammann, MD,
Linda Manning Lac or Lashed by Ronnie is voluntary, and I know of, understand and assume any and
all the risks associated therewith.I agree to all Helen’s Haven and Valorie Ammann MD policies,
including cancellation, no-show and sick policies.I agree and acknowledge that any use of Helen’s
Haven and Valorie Ammann MD, facilities and/or amenities is optional and is done so at my own
risk.In exchange for receiving Services from Helen’s Haven or Valorie Ammann MD, I, for myself and
on behalf of my heirs, executors, administrators and personal representatives, hereby waive,
release, discharge and hold harmless Helen’s Haven and Valorie Ammann, MD, its members, officers,
employees and agents from any and all liability for any and all injuries, damages or claims
relating to or resulting from receipt of the Services, now or in the future, foreseen or
unforeseen. Further, I will indemnify and hold Helen’s Haven, Valorie Ammann MD, its members,
officers, agents and employees, harmless from and against any and all claims, rights, damages,
liabilities, losses, costs and expenses (including reasonable attorneys’ fees) arising from or in
connection with any injuries to other persons or damage to property caused by or attributed to me.I
acknowledge that I have read, and understand; the release and indemnification provisions set forth
in the preceding paragraph, and agree to such terms.