A Higher Level of Skincare 0 HOME INJECTABLES FACIAL TREATMENTS LASER TREATMENTS LAS PATIENT RESOURCES POST BBL / IPL PRE ULTHERAPY POST VEIN POST HAIR REMOVAL POST INJECTIONS POST MLP & PRO FRAC POST SCARLET & MN Covid-19 Health Declaration First Name Last Name I understand that I am opting for an elective treatment that is not urgent and may not be medically necessary. I affirm that I, as well as all household members, have not knowingly been exposed to anyone diagnosed with COVID-19 WITHIN THE PAST 30 DAYS I affirm that I, as well as all household members, have not traveled outside of the country, or to any city considered to be a "hot spot" for COVID-19 infections WITHIN THE PAST 30 DAYS. Skin Nirvana Med Spa is following these enhanced procedures to prevent the spread of COVID-19: Contactless checkout Additional time included between appointments to prevent client contact with each other Guests accompanying those scheduled for services discouraged Each client required to wash hands upon arrival and before leaving All surfaces will be wiped thoroughly with hospital grade disinfectant before and after each client Refrain from cell phone use in facility By initialing below, you agree to each statement above and release Skin Nirvana Med Spa from any and all liability for the unintentional exposure or harm due to COVID-19. Skin Nirvana Med Spa agrees to abide by these standards and affirms the same. Initial to agree Select a date Submit + 714 283 1433 657 255 6455 ©2017 by Skin Nirvana Med Spa. Proudly created with Wix.com 8082 E Santa Ana Canyon Rd. Anaheim Hills CA, 92808 (Next to Woodranch)

A Higher Level of Skincare 0 HOME INJECTABLES FACIAL TREATMENTS LASER TREATMENTS LAS PROMOTIONS & SAVINGS EXCLUSIVE MEMBERSHIPS Our exclusive skin renewal and rejuvenation membership levels are targeted to help achieve tighter, brighter, and smoother skin. You'll notice an improvement in your skin when you commit and engage in the process on a monthly basis. One treatment each month designed to address your specific skin concerns AGING SKIN, FINE LINES & WRINKLES SCARS, ADULT/TEEN ACNE HYPER-PIGMENTATION, SUN DAMAGE DRY SKIN HOW IT WORKS $199 Starting at MEMBERSHIP + 714 283 1433 657 255 6455 ©2017 by Skin Nirvana Med Spa. Proudly created with Wix.com 8082 E Santa Ana Canyon Rd. Anaheim Hills CA, 92808 (Next to Woodranch)

Skin Nirvana Medspa 8082 E Santa Ana Canyon Rd , Anaheim, http://skinnirvana.com/ (714) 283-1433 Book An Appointment How can we help you? This appointment is for: New Client Returning Client Location: Continue Terms Privacy © Demandforce 2021, all rights reserved.

A Higher Level of Skincare Since 2005 0 HOME INJECTABLES FACIAL TREATMENTS LASER TREATMENTS LAS Located in the beautiful Anaheim Hills Festival Shopping Center next to Woodranch TUES - FRI 9:00 - 6:00 PM SAT 9:00 - 4:00 PM SUN CLOSED MON CLOSED Contact Us 714.283.1433 657.255.6455 clientservice@SkinNirvana.com + 714 283 1433 657 255 6455 ©2017 by Skin Nirvana Med Spa. Proudly created with Wix.com 8082 E Santa Ana Canyon Rd. Anaheim Hills CA, 92808 (Next to Woodranch)