Amor Fati Client Intake & Wellness Form ✨

Amor Fati Client Intake & Wellness Form ✨

Share your details, health info, preferences, and consent—then review the deposit and rescheduling policy before signing.
Personal Information
Full Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Emergency Contact Information
Emergency Contact Full Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to You
Detailed Health & Wellness Questionnaire
Do you have any medical conditions or allergies we should be aware of?
Current Medications
Are you currently pregnant or nursing?
Skin sensitivities or recent reactions?
Any recent surgeries or injuries?
Do you have any contagious conditions (e.g., cold, flu, rash)?
Consent & Liability Waiver
Photo Release
Salon Policies & Aftercare Acknowledgment
Wellness Check-In
How are you feeling today?
Is there anything you'd like to share about your wellness today?
Nail Preferences & Personalization
Preferred Nail Shape
Preferred Nail Length
Press-On Nail Sizing (if applicable)
Favorite Drink
Favorite Snack
Preferred Appointment Days
Music Preference During Appointment

Other
Conversation Preference
Allergies (e.g., latex, adhesives, scents)
Appointment History
Design Notes / Special Requests
Loyalty Rewards Number (if applicable)
Next Preferred Appointment Date

MonthDayYear
Date
Electronic Signature
Deposit Payment
prevnext( X )
USD
Should be Empty:

Amor Fati Client Intake & Wellness Form ✨

Personal Information

Emergency Contact Information

Detailed Health & Wellness Questionnaire

Consent & Liability Waiver

Photo Release

Salon Policies & Aftercare Acknowledgment

Wellness Check-In

Nail Preferences & Personalization

Deposit Payment*

Deposit Payment