Waxing medical consent

[Flutterby]

Hi all,

I have a client who wants to come in for waxing next week and is diabetic. She was surprised I even asked as apparently nobody ever has before. I referred get to gp/nurse for consent however they have both told her they won't write a letter of consent, and have never heard of this request before. I appreciate they're busy and don't want to get involved, but my insurer says I need it.

My question is this, if I draft the letter myself for them to sign, is there something specific I need to say that the gp/nurse should sign (my insurer won't even give guidance on this wording) or do you have any other suggestions?

The clients diabetes is completely controlled and level and is up to date with her retinal scans etc.

Thank you in advance, feel like I'm out on a limb at the mo.

Xx

 

[Pinkbunny28]

Id like to know this too as I personally forced a doctor to write me a note once lol! There was nothing else I could do. I think people just dont ask their gp to be honest. It's a complete nucience though! x

 

[Susie H]

Is this because it's contra indicated in your books?
I'm only asking because I've never heard of it being a problem.
I routinely ask clients if they are diabetic, epileptic etc, but this is so that if a client were to faint etc, I have some idea of what I need to say when I call an ambulance.
The only extra question I have with regards diabetics is what is your average blood sugar reading. For my services it needs to be with in the control range which is from 4 and up to 9. So long as it is, they are fine to wax, spray tan, pedicure etc. Really I have asked my husbands diabetic nurse exhaustive questions on behalf of salon geek.
So long as the client is in control of their condition there is no difference between them and you.
I asked the nurse once why it's contra indicated in so many subjects and she told me it is to make you ask more questions and alter your treatment if needed.
For example if you had a diabetic client who wanted a full body massage, there are some massage treatments that could alter the blood sugar levels and whilst that might be a desirable out come, we are not doctors and so should not perform a treatment that could do that.
Also I've asked my insurance company in the past and they told me I was fine so long as the conditions were on my client record cards.
I hope this helps xx

 

[Flutterby]

Hi there,

It was just the way i was taught. This client's blood sugar is 6 and her diabetes is under control. No skin issues or loss of sensation so I would think she's fine to wax. The problem is my insurer (salon gold) have said they would want medical consent. It seems excessive for this client but u appreciate it's absolutely appropriate for some clients/treatments.

I just thought if I prepared the letter, they may be more inclined to actual deal with it if it only takes them a few seconds to do it. It's the wording I don't get though.
X

 

[Flutterby]

Anybody??
X

 

[Lolly22]

Anybody??
X

Hey the usual medical notes say something along the lines of:

By signing this letting I am confirming that by performing a wax treatment on my patient will not worsen her condition and that my patient is safe to have this treatment.

That's all they usually put. But I'm not sure about you writing it oh yourself as they are normally on headed paper and such.

I suppose as long as you stick with your insurance then you'll be fine.

 

[Lolly22]

Ps. Alot of doctors won't give a medical note because it is simply like they are reccomending you as a therapist and also that they don't want it on their heads either should anything go wrong. So maybe it's this. I also thought medical notes were quite out dated and that if your client got doctors advice about treatment was fine? Maybe not for the insurances tho.

 

[Flutterby]

Thanks for your help that's great.

Her gp sees no problem and I trust what she says but it's just to please the insurer. I'm sure it'll be fine if they sign and stamp with their name & address etc. Can't believe the dr/nurse have never been asked this before.
X

 

[jacquelineanna]

I've just seen another post regarding doctors notes.

I'm wondering if the insurers need to rethink this clause as doctors clearly don't think its necessary and may even perceive that by them signing something offical for insurance purposes maybe they are indeed putting themselves in a precarious position should there be a claim of some kind.

Insurers have taken things a bit too far I think in trying to protect themselves from paying out for ANYTHING AT ALL.

Jacqui xx

 

[Flutterby]

I totally agree. Insurers don't want liability, doctors don't want liability and we're stuck in the middle with healthy clients that just want to be waxed.

I've text the client and asked her to drop it in to nurse to sign off-so I guess I'll soon find out their view.

Client is happy to provide copy of recent test results to prove that everything is ok, so I'll have to go with that in worst case scenario.
X

 

[Rhiannon1408]

Hi there,

It was just the way i was taught. This client's blood sugar is 6 and her diabetes is under control. No skin issues or loss of sensation so I would think she's fine to wax. The problem is my insurer (salon gold) have said they would want medical consent. It seems excessive for this client but u appreciate it's absolutely appropriate for some clients/treatments.

I just thought if I prepared the letter, they may be more inclined to actual deal with it if it only takes them a few seconds to do it. It's the wording I don't get though.
X

I was taught this too.
Rhiannon x

 

[hellishbellish]

Is this because it's contra indicated in your books?
I'm only asking because I've never heard of it being a problem.
I routinely ask clients if they are diabetic, epileptic etc, but this is so that if a client were to faint etc, I have some idea of what I need to say when I call an ambulance.
The only extra question I have with regards diabetics is what is your average blood sugar reading. For my services it needs to be with in the control range which is from 4 and up to 9. So long as it is, they are fine to wax, spray tan, pedicure etc. Really I have asked my husbands diabetic nurse exhaustive questions on behalf of salon geek.
So long as the client is in control of their condition there is no difference between them and you.
I asked the nurse once why it's contra indicated in so many subjects and she told me it is to make you ask more questions and alter your treatment if needed.
For example if you had a diabetic client who wanted a full body massage, there are some massage treatments that could alter the blood sugar levels and whilst that might be a desirable out come, we are not doctors and so should not perform a treatment that could do that.
Also I've asked my insurance company in the past and they told me I was fine so long as the conditions were on my client record cards.
I hope this helps xx

Can I ask which insurance you are with?

 

[Lolly22]

I've just seen another post regarding doctors notes.

I'm wondering if the insurers need to rethink this clause as doctors clearly don't think its necessary and may even perceive that by them signing something offical for insurance purposes maybe they are indeed putting themselves in a precarious position should there be a claim of some kind.

Insurers have taken things a bit too far I think in trying to protect themselves from paying out for ANYTHING AT ALL.

Jacqui xx

Yeah this is totally true! I think it's quite fair for the docs tho coz they don't know what could go wrong. So it is a bit of a pain.

 

[soriminah]

I've just seen another post regarding doctors notes.

I'm wondering if the insurers need to rethink this clause as doctors clearly don't think its necessary and may even perceive that by them signing something offical for insurance purposes maybe they are indeed putting themselves in a precarious position should there be a claim of some kind.

Insurers have taken things a bit too far I think in trying to protect themselves from paying out for ANYTHING AT ALL.

Jacqui xx

You've hit the nail on the head there....that's why they don't want to do it. If they give consent and something happens to the client, then they can be sued.

I slipped over in a shopping centre once and l landed on my knee. Went to physio for a while and then they sent me to a specialist. When I told him what happened his first question was 'is this in litigation?' I was surprised and said no. He said 'so you haven't seen a solicitor'. I said no. He told me to go see a physio. I told him the physio referred me to him. He said 'well go see the hospital physio'. He point blank refused to treat me because he was worried of being caught up in a legal case. Never mind the fact that I never did but my knees still stuffed.