Client Enquiry / Enrolment

Client ID: (office use)

Please select treatment(s) required

Hair Removal ConsultationDo you have unwanted hair or are you concerned by excessive hair growth? Would like to put an end to waxing or shaving? Hair Removal treatment could be the solution for you. HOW DOES IT FEEL? A slight warm sensation best describes the feeling experienced during treatment. This is minimised by a cooling gel that is applied before the treatment starts. IPL is infinitely more comfortable than most conventional methods like waxing or electrolysis.

£ Free

Tattoo Removal Consultation Product Image

Tattoo Removal ConsultationLaser tattoo removal is a safe and effective way to remove a tattoo. Using either Q-Switch ND YAG or Ruby laser technology.

£ Free

Age/Sun Spots Consultation Product Image

Age/Sun Spots ConsultationLaser treatment is effective on freckles, age spots and other sun damage skin.

£ Free

IPL - Photo Rejuvenation Consultation Product Image

IPL - Photo Rejuvenation ConsultationIf your looking to improve your complexion then our IPL skin rejuvenation treatment could be for you. It's great for smoothing out the tone and texture of your skin and reversing the signs of aging. We can treat Rosacea, Age / Sun spots, freckles, fine lines, wrinkles, large pores, broken capillaries, spider veins, facial redness and acne.

£ Free

Thread Veins ConsultationThread Veins are tiny blood vessels that run very close to the surface of the skin and are usually blue or red in colour, these are often called spider veins due to their appearance. Fine capillary's can develop as a consequence of age or some kind trauma to the skin.

£ Free

Salutation

Name*

First NameLast Name

Date of Birth

MonthDayYear

Contact Number:*

E-mail*

example@example.com

Address:*

Street Address

Street Address Line 2

Town/CityCounty

Postal Code

Are you currently taking any prescribed medications?*

YesNo

If yes, please list it here

Do any of the following medical conditions apply to you:*

If yes, please list it here

How would you describe your general health?

Are you taking any herbal supplements?*

If yes, please specify

For tattoo removal, please list all colours in the tattoo and give measurements'

Please upload a photo of your area to be treated

Addition Information

Signature*

Signature Date*

Date

Client Enquiry/Enrolment Form