Client Intake & Consent Form

Client Intake & Consent Form

Please provide your details and consent for the consultation.
Client Information
First-time client?
Full Name

First NameLast Name
Date of Birth

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Phone Number

Country CodeArea CodePhone Number
Email Address
example@example.com
Service Booked
What services are you interested in?
Medical & Health History
Please check any that apply

Other
My medical history, medications, allergies, and skin conditions have changed since my last appointment.
If yes, please check any that apply

Other
IMPORTANT: If you have selected any of the conditions above, you may not be suitable for brow waxing, tinting, or lamination treatments. For safety, your appointment may need to be postponed, modified, or declined following consultation. If you are unsure whether a condition applies to you, please contact Framed Beauty and/or your doctor before booking.
Brow Treatment History
Have you ever had your eyebrows waxed before?
Have you ever had brow tinting?
Have you ever had brow lamination?
If yes, when was your last treatment?
Consent Agreement
I also confirm that:
Client Signature
Should be Empty:

Client Information