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  • Client Intake Form

  • Who referred you to Hair by Madison Stilley?

  • Please list any medications you are currently taking:

  • What hair products do you currently use?

  • What are your main hair concerns?

  • Have you ever had any chemical services done before? If so, please list:

  • What service(s) are you looking to get done?

  • What are you hoping to gain by your service with Hair by Madison Stilley?

  • What are your questions for your hairstylist?

  • How can I better assist you and your needs?

  • Should be Empty: