Liability Waiver for The Bloom Room

Skin care is not an exact science. Each individual’s medical history, lifestyle, and skin behaves differently; therefore, no specific results or freedom from adverse side effects can be guaranteed.

We will take all reasonable precautions to minimize complications. It is critical that you disclose all relevant information honestly so that your treatment can be adjusted to reduce the risk of complications. Potential adverse side effects of facials include, but are not limited to:

  • Swelling of the face

  • Redness of the treated area

  • Blistering or crusting of the skin

  • Scarring

  • Infection

  • Cuts or burns

  • Changes in skin pigmentation

  • Allergic reactions to products used

  • Stinging

I have had the opportunity to ask my esthetician, Krystal Stelle, any questions I may have. I understand that this is a cosmetic procedure with inherent risks and potential side effects, and I voluntarily choose to proceed with full knowledge of these risks. I affirm that I have truthfully discussed my personal history with Krystal Stelle and understand that providing false information may lead to undesirable consequences. I also acknowledge that failing to follow post-care instructions may result in complications or undesired outcomes.

I understand that Krystal Stelle and The Bloom Room do not diagnose illness, disease, or any physical or mental conditions. To the fullest extent permitted by law, I agree to waive and release Krystal Stelle and The Bloom Room from any present or future claims, suits, or related causes of action.

The Bloom Room provides cosmetic skin care services performed by Krystal Stelle, a licensed esthetician under the Oregon Health Licensing Office, not a licensed massage therapist. These services are limited to cleansing, exfoliation, and superficial skin stimulation for aesthetic enhancement, as defined by ORS 690.005. They do not include therapeutic massage, deep tissue manipulation, or medical treatment, which are reserved for licensed massage therapists or healthcare professionals under ORS 687.011.

I confirm that these services are not intended to treat muscle tension, physical injuries, or medical conditions. I have disclosed any relevant skin conditions (e.g., allergies, sensitivities) to The Bloom Room and understand that results may vary and are not guaranteed.

In consideration of receiving these services, I hereby release, waive, and discharge Krystal Stelle and The Bloom Room from any and all liability, claims, or damages arising from unforeseen outcomes, skin reactions, or injuries, provided the service is performed with reasonable care and skill consistent with esthetician standards.

Furthermore, I agree to indemnify and hold harmless Krystal Stelle and The Bloom Room from any claims, damages, or expenses (including legal fees) arising from my actions or omissions, including but not limited to failure to disclose relevant medical information, not following post-care instructions, or misuse of products or services. This indemnification applies to claims brought by me or any third party and is part of this agreement.

I enter this agreement voluntarily and acknowledge my right to terminate the service at any time.

I have read the information above and have addressed any concerns with Krystal Stelle and The Bloom Room. I authorize Krystal Stelle to perform the discussed procedure and agree to hold them harmless from any liability that may result from this treatment.

This waiver will be kept on file and applies to all facial services I receive today and in the future.

Governing Law: This agreement shall be governed by and construed in accordance with the laws of the State of Oregon.

By clicking yes, I confirm that I have read, understood, and agreed to the terms herein and voluntarily accept the service and any associated risks.