• K-Tip Intake Consultation Form

  • Customer Information

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  • Format: (000) 000-0000.
  • Hair History

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  • Hair & Scalp Assessment

    *Please be honest to the best of your ability*
  • Hair History

    *Please be honest to the best of your ability*
  • Rows
  • How ready are you for K-Tips? 🤔

    *These questions are heavily determined on whether you will be a good candidate for this service*
  • Rows
  • What is your Desired Outcome? 😉

    *Check all that apply*
  • Lifestyle & Maintenance ⛱️🏋🏾‍♀️

  • Hair Investment & Policies 💇🏾‍♀️💰

    *You are almost done*
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  • Acknowledgment

  • Accuracy of Information

    • I confirm that all information provided in this consultation form is complete, truthful, and accurate. I understand that withholding or misrepresenting information regarding my hair, scalp, health history, or previous services may affect the outcome of my K-Tip installation.

    Service Suitability & Right to Refuse

    • I understand that my hair and scalp will be evaluated prior to installation and that the stylist reserves the right to modify, postpone, or decline the service if my hair is not deemed suitable for K-Tip extensions at the time of my appointment.

    Longevity & Maintenance Commitment

    • I acknowledge that K-Tip extensions are a long-term install (approximately 4–6 months) and require consistent at-home care, adherence to aftercare instructions, and professional maintenance appointments.

    Risk & Responsibility Awareness

    • I understand that failure to follow maintenance guidelines—including improper care, excessive tension, missed maintenance visits, or lifestyle neglect—may result in slippage, matting, breakage, or hair loss, and these outcomes are not the responsibility of the stylist.

    Hair, Pricing & Deposit Policy

    • I acknowledge that final pricing is based on hair length, density, and desired result. I understand that a non-refundable deposit is required to secure my appointment and that all hair used for this service is provided by the stylist only. Outside hair is not accepted.

     Removal Policy

    • I understand that removal must be performed by MeLana

      *Results Disclaimer*

    • I understand that individual results may vary based on natural hair condition, lifestyle, and maintenance routine. While every effort is made to achieve my desired look, specific results and longevity cannot be guaranteed.


    • By signing below, you agreed that you have read and understood the terms and agreement above.
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