• Nail Client Intake & Consent Form

  • Date of Birth*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.

  • MEDICAL HISTORY

  • Do you have any known allergies?*
  • Health Disclosure (please check any that apply)*
  • Are you currently taking any prescription or over-the-counter medications?*
  • Do you have any skin conditions or sensitivities?*
  • Have you had any recent surgeries, injuries, or illnesses?*
  • Do you have any other medical conditions or issues we should be aware of?*
  • Do you have diabetes?*
  • Do you have any heart conditions?*
  • Are you pregnant?*
  • Do you smoke?*
  • Do you have any circulatory issues?*
  • Do you have any respiratory issues?*

  • NAIL HISTORY

  • How often do you receive professional nail services?*
  • What type of nail services do you usually receive?*
  • Do you have any issues with your nails?*
  • Are you currently wearing any nail enhancements?*
  • Have you had any adverse reactions to nail products or treatments in the past?*
  • Do you bite your nails?*

  • SERVICE PREFERENCES

  • Preferred Nail Shape*
  • Preferred Nail Length*
  • Preferred Nail Color*
  • Preferred Nail Finish*
  • Do you prefer any specific brands or products for your nail services?*

  • CONSENT AND AGREEMENT

    Please Initial Below
  • Photo Release*
  • I understand that nail services involve the use of professional products, tools, and techniques including but not limited to: • Filing and shaping the natural nail • Cuticle care • Gel polish, Builder Gel, or Enhancement products • Use of UV/LED lamps for curing products I acknowledge that while proper sanitation and professional procedures are used, there are inherent risks involved.*
  • I understand possible side effects may include:Skin irritation, Allergic reactions,  Nail sensitivity, Lifting or breakage of enhancements, Rare risk of infection I understand that results may vary depending on nail condition, lifestyle, and aftercare.*
  • I agree to follow proper nail care after my service including: Avoid picking or pulling enhancements, Wearing gloves when using harsh chemicals, Scheduling proper maintenance or fills, Reporting any irritation or reaction immediately. I understand improper care may damage my natural nails.*
  • I voluntarily consent to receive nail services and understand the risks involved. I release the technician and salon from liability related to reactions, injuries, or complications resulting from the service, except in cases of negligence.*
  • Photo Release*
  • Date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Should be Empty: