HeadLab Consultation Form

Welcome!

This form is to let me know more about you and your hair and scalp goals. Please answer the questions with as much detail as possible so I can know the best way to help you achieve your hair and scalp goals. There's no judgement in my chair, so the more I know about you and your hair, the better of an experience I can provide to you. Once this form has been submitted, you'll receive a phone call and/or text from me within 48 business hours or less. (I am not in the salon Saturday - Monday) This call/text will have any follow-up questions, as well as my upcoming appointment availability. I am so excited to meet you and can't wait to work with you and your scalp and hair health needs! ~Emilee
A comprehensive consultation is more than a conversation. We will meet, discuss your issues, hair and scalp history, lifestyle, products, diet, medical issues and your goals. We will also be doing a digital examination of the scalp health and hair structure. Upon completion of this consultation, we will proceed with the Head Lab Scalp Facial treatment. Upon completion of the Head Lab Scalp Facial treatment, we will perform another digital examination of your scalp to see the progress made from the treatment. The service will end with a rough dry of the hair (not fully dried or styled) If you would like a full blowout at the end of this service, please request at the time of booking as this will be an additional $25 and more time will need to be added to the service.
Date

MonthDayYear
Date
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Health, Wellness & Lifestyle (please check all that apply)
What surgeries have you undergone within the last year?
List medications and/or supplements you currently take (including topical):
Have you ever had an adverse reaction to a cosmetic? Please explain:
What kind of water do you have at home? (Hard, soft, well, etc)
How many times do you shampoo each week?
Which shampoo do you use?
Which conditioner do you use?
How frequently do you visit a salon?
Do you do any specialty hair treatments or services?
On a scale of 1 to 5, how sensitive is your skin?
I understand that the services rendered are not a substitute for medical care and any information provided to the professional is for educational purposes only and not diagnostically prescriptive in nature. This consulation form is used to evaluate your individual scalp needs. We will maintain the confidentiality of this information, and will disclose this information only: (1) to our staff members involved with your care, (2) to quality control personnel. We will not provide this information to anyone else except as required by law. We will not sell this information. We may reach out with product-related information and questions.
Appointment / Cancellation Policies:

ARRIVAL:
Please aim to arrive 5 minutes before your scheduled appointment time. For hair appointments, please have no longer than 2-day unwashed hair. If your hair is generally more oily than dry, please shampoo prior to your color/lightening/keratin service to ensure the treatment will be able to penetrate evenly throughout the hair. For lash and/or brow appointments, please arrive with clean/makeup free eyes, lashes and brows. Extra time spent cleaning your lashes will mean less time lashing. If you arrive after your scheduled appointment time, it may not be possible to extend the time available for your booked service; if your service is shortened due to your late arrival, you will still be charged the full cost of the service.

CHANGING YOUR APPOINTMENT:
A minimum of 24 hours notice is required to reschedule/cancel a booked appointment without penalty.

SICKNESS OR FAMILY EMERGENCY:
If you or another person in your household, has an infectious or contagious illness, please contact us as soon as possible to reschedule your appointment for a later date. For your safety and that of staff and other clients, please do not come to your appointment sick. If it is assumed you are currently sick, your appointment may be cut short or rescheduled for when you are healthy once again. A one-time allowance of last minute cancellation or reschedule will be permitted for sickness or family emergency. After that, the cancellation and no-show policy is in effect.

CANCELLATION + NO-SHOW:
As a courtesy, appointment reminders are sent out 72 and 24 hours prior to your appointment either by text, email or both. If an appointment is cancelled or rescheduled within 24 hours of your appointment, you will be charged 50% of your service as a cancellation fee. If you reschedule or no-show your appointment within 4 hours of your scheduled appointment time, you will be charged 100% of your service as a cancellation fee. This is to protect your time that is set aside especially for you, as well as to protect our time which books up quickly. In turn, we promise to keep appointments on time, give you our full and undivided attention and of course, the best hair, lash and brow experience Brentwood, TN & Franklin, TN has to offer!

AFTER-HOURS APPOINTMENTS:
Certain circumstances and seasons may leave you in a panic to squeeze in a last-minute lash or hair appointment that is outside of our normal business hours. After-hours appointments may be available on a case-by-case basis for an additional $50 fee. Please contact us directly to schedule an after-hours appointment.

REFUND POLICY:
You are paying for the stylist’s time, products and other expenses used to provide you with a service. No refunds will be given for any reason on services or products. If you are unhappy with a service, you may contact us within 24-48 hours of your appointment to discuss your concerns and if a change can be done to address your concerns, it will be done so with a complimentary 20-30 minute express touch-up if it is at the fault of the application or product. Any concerns addressed after 24-48 hours of your last appointment or if you failed to follow the proper aftercare instructions, you will be charged at the full price for the service.

CHILDREN'S POLICY:
I love your little ones! However, the salon is not always a safe place for children. If your child is not receiving a service, I respectfully ask that you make arrangements for child care (12 & under). After all, I want this to be a relaxing service for you too. This is a safety issue. I have hot tools, sharp tools, wax, chemicals and breakable things in my studio and I do not want anyone to get hurt.

Payments of Services:
All payments of services must be paid at time of appointment.
Venmo or Cash are the accepted methods of payment.
If you forget your wallet I have to send you an invoice to pay for your hair services, there will be a $15 service charge for this payment option. All invoices must be paid within a timely manner. Any invoice that is paid after 12 hours of original appointment time will result in a $50 late fee for each day that is not paid. Any services that are not paid by invoice within 24 hours will be considered theft of services and legal action will be taken. Client will be held responsible for all court fees and any other fees that go along with getting paid for the services rendered.
Client Signature
Should be Empty:

Welcome!