Nail Consent form

Nail Consent form

Please have this filled out at least 24 hours prior to your appointment. Failure to fill out this form will result in a cancellation of your appointment.
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Date:

MonthDayYear
Date
Medical History & Hand Health

Please select all that apply. Past or current.
Do you have any allergies?
If yes, please specify:
Have you had any allergic reactions or irritation from any type of nail or skin product?
If yes, please specify:
Please select any of the following medical or nail/skin conditions you have: (past or current)

Other
If you selected 'other' please list it down below:
Are you a nail biter? (moderate/severe)
If yes, please specify:
I,blank* agree that this form is true and accurate to the best of my knowledge. I have disclosed any conditions or history that may put me at risk of reactions to any services received.
Clients signature
Guardians full name: (if under 18)

First NameLast Name
Guardians signature: (if under 18)
Should be Empty:

Medical History & Hand Health