• Beauty Consultation Form

  • Birthdate
     - -
  • Format: 00000 000000.
  • What treatment are you interested in booking?
  • Have you had this type of treatment before?
  • How would you describe your skin type?
  • 1) I give my permission to receive my chosen treatment.


    2) If I have ticked that my skin is sensitive, I am aware that a patch test may be needed prior to my facial there. I will contact my therapist if any irritation, side effect or unwanted issue arrives that is a direct cause of any patch test that is carried out.

    3) I understand that therapeutic massage is not a substitute for traditional medical treatment or medications.

    4) I understand that the therapist does not diagnose illnesses or injuries,or prescribe medications.

    5) I have clearance from my doctor where necessary to receive the treatment / therapy I am booking for.

    6) I fully understand the risks associated with facials, eg, redness

    7) I understand the importance of informing my therapist of all medical conditions and medications I am taking, and to let the therapist know about any changes to these at any ongoing appointments. I understand that there may be additional risks based on my physical condition.

    8) I understand that it is my responsibility to inform my therapist of any discomfort I may feel during the session so he/she may adjust the treatment accordingly.

    9) I understand that I or the therapist may terminate or postpone the session with 24 hours notice if either are unwell.

    10) I have been given a chance to ask questions about the session and my questions have been answered.
     

  • Agreement when I click on SUBMIT below*
  • Should be Empty: