• Client Details

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  • APPOINTMENT INFORMATION

  • What treatment are you booked for?
  • Skin Concerns

  • What’s your skin concerns?
  • Medical & Health History

  • Please tick what is relevant
  • Lifestyle

  • How would you describe your diet?
  • Water intake daily
  • Do you smoke/vape?
  • Do you drink alcohol?
  • Skin Photos

  • Upload a File
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    Choose a file
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  • Do you consent to photos/videos being shared on social media?*
  • Treatment Consent


  • By booking and receiving a treatment at our salon, you agree to the following:
    I confirm that the information I have provided about my health, medications, allergies, pregnancy, and skin conditions is true and correct. I understand that not sharing important information may increase the risk of a reaction.


    I give permission for the practitioner to perform the agreed beauty treatments. These may include facials, skin treatments, waxing, tinting, manicures, or other services offered by the salon.


    I understand that some treatments may cause temporary redness, sensitivity, irritation, or swelling. Individual results can vary and outcomes cannot be guaranteed. I understand that, although very low risk, the following may occur" Pigment changes/freckles may temporarily or permanetly disappear in treated areas. Crusting, itching, pain, bruising, pimple-like bumps, dry skin, blistering, infections, swelling or scarring. Allergic or delayed inflammatory response can develop. Uncomfortable sensations during treatmen, inlcuding but not limited to:Prinkcling, hot and milkd sun burn sensation following treatment. * These are assosiated with the advanced skin treatments but not limited. 


    I understand that patch testing may be recommended for some services. If I choose not to have a patch test, I accept the risk of a possible reaction.


    Photos may be taken for treatment records. These will remain private unless I give permission for them to be used for marketing.


    I understand that late cancellations or missed appointments may incur a fee according to the salon’s booking policy.


    By signing this form or continuing with my appointment, I confirm that I understand and agree to these terms.

  • I confirm that the information provided is true and correct.*
  • Client Signature

  • Date*
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    2 digit day, 2 digit month, 4 digit year
  • Should be Empty: