24-Hour Cancellation & “No Show” Fee Policy

Each time a patient misses an appointment without providing proper notice, another patient is prevented from receiving treatment. Therefore, Genevieve Medispa reserves the right to charge a fee of $100.00 for all missed appointments (“no shows”) and appointments which, absent a compelling reason, are not cancelled with a 24-hour advance notice. “No Show” fees will be billed to the patient. This must be paid prior to your next appointment. Multiple “no shows” in any 12-month period may result in termination from our practice. Thank you for your understanding and cooperation as we strive to best serve the needs of all our patients.__________ Initials

 Special Note About Children

Children under the age of 12 are not allowed in our reception or treatment areas. We strive to create a professional atmosphere for all our patients, and we deeply care about the safety of your little ones. If you are coming in for treatment, we kindly ask that you have another adult with you to watch over any children you bring along.__________ Initials

 Refunds

Refunds for services rendered are not provided. You may return unopened products in the original packaging within 30 days of your purchase. If 30 days or more have passed since your purchase, we cannot offer you a refund or an exchange. Exceptions to this policy may occur with the approval of management. __________Initials

 Consultation Fee

A $100 consultation fee shall be assessed to all new patients at the time of booking the consultation appointment. This fee will be applied to future treatment. Cancellations within 24-hours or “no show” of the consultation appointment shall result in forfeiture of the $100 consultation fee.__________ Initials

 Smoking

 Is not allowed in the facility or on the property.__________ Initials

 Cellphone Use

In order to preserve and protect your confidentiality as well as others, no cell phone use will be allowed in the reception area or treatment rooms. This includes recording, videos or photos.__________ Initials 

By signing below, you acknowledge that you have received these notices and understand the policies. Signature:                                                                                                                                                 Date:                                 Printed Name:                                                                                           

Genevieve MediSpa 321 N. Kuakini St. #503 Honolulu, HI 96817. Phone: (808) 546-9544. Genevievemedispa.com