Wax Consultation

Wax Consultation
Name

First NameLast Name
Date of birth
Gender & pronouns
Email
Address

Street Address

Street Address Line 2

CityState / Province

Post Code
Phone Number

Area CodePhone Number
Ethnicity
Race
Before your appointment:

Don't shave within 2 weeks

Wear loose clothing/ go commando

Exfoliate 72 - 48 hour prior

Take paracetamol 30 minutes (minimum) to 1 hour (maximum) before your appointment

If you are on your period: weara tampon or a menstrual cup
Appointment you chose
Is this your first wax?
Are you on your period?
Occupation:
Doctors name & address
Any known medical conditions or allergies?
Are you taking any medication
Have you got any contraindications?
Contraindications requiring medical referral?
Contraindications restricting treatment
Do you want all hair gone?
Do you accept our terms & policies?
Signature
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