Spa Consultation / ConsentForm

Spa Consultation / ConsentForm

Please fill out prior to your appointment.
Full Name

First NameLast Name
Date of birth | Age

DOBCurrent age
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Emergency contact

NamePhone number
Are you comfortable with pictures being taken or parts of the service being filmed for my social media?
Do you have any allergies?
If yes, please list your allergies
Are you currently taking any medications?
If yes, please list your medications
Please indicate any health conditions we should be aware of

Other (please specify below)
If other, please specify
What are your main skin concerns?
I understand that although every precaution will be taken to ensure my safety and comfort, reactions may occur from skincare products, waxing services, or treatments. I have honestly completed this form and will inform my esthetician of any changes in my health or medications.

I understand results may vary and no guarantees have been made regarding the outcome of my services.
Clients name | Today’s date

NameDate
Signature
How did you hear about me!? ( referrals)
Should be Empty: