Consultation Form

Consultation Form
Name

First NameLast Name
D.O.B.

DayMonthYear
Date
Contact Number
Please enter a valid phone number.Format: (00000) 000000.
Medical History
Do you have or ever had any of the following? I need to ask this as some treatments may need adapting, or not be able to be performed if the following apply, due to associated health risks.
Any health issues you feel may restrict your treatment please specify below:
I give consent for Chrissy to contact me about my appointments
I consent to have pictures taken of my nails to be used on social media platforms
Cancellation Policy
Appointment reminders will be sent 48 hours prior to your appointment (Unless you have opted out). 50% of your appointment fee will be chargable if you cancel/rearrange within 24 hours notice.This will need to be paid before your next appointment.
Client Declaration
I declare that the information I have given concerning my health and wellbeing is correct. I understand that all treatments come with risks and that I may have an adverse reaction due to no fault of my own or of the nail professional carrying out the treatment.

I acknowledge that the nail treatments and/or enhancements are not guaranteed and are my sole responsibility once I leave the salon.

I agree to make my nail professional aware at the beginning of each appointment if anything on this form has changed.
Signature
Date

DayMonthYear
Date
Polite Notice

Please ensure you complete all details in full to ensure all insurance criteria is fullfilled.
The service/s provided are strictly non refundable.

The information on this form will be stored for a minimum of 7 years in line with GDPR guidelines.
Parental Declaration (if appliacable)
I declare that I am the responsible parent/gaurdian of name of child and I give permission for the specified treatment/s to be carried out. The information disclosed on this consultation form concerning health and wellbeing of the said young person is correct to my knowledge. I understand that all treatments come with risks and that the child in question may have an adverse reaction.
Signature
Date

DayMonthYear
Date
Polite Notice

Please ensure you complete all details in full to ensure all insurance criteria is fullfilled.
Salon use only
Has anything changed since your last appointment?
If yes please specify below.
Signature
Date

DayMonthYear
Date
Additional appointment notes
Has anything changed since your last appointment?
If yes please specify below.
Signature
Date

DayMonthYear
Date
Additional appointment notes
Has anything changed since your last appointment?
If yes please specify below.
Signature
Date

DayMonthYear
Date
Additional appointment notes
Has anything changed since your last appointment?
If yes please specify below.
Has anything changed since your last appointment?
Signature
Date

DayMonthYear
Date
Additional appointment notes
Has anything changed since your last appointment?
If yes please specify below.
Signature
Date

DayMonthYear
Date
Additional appointment notes
Has anything changed since your last appointment?
If yes please specify below.
Signature
Date

DayMonthYear
Date
Additional appointment notes
Has anything changed since your last appointment?
If yes please specify below.
Signature
Date

DayMonthYear
Date
Additional appointment notes
Has anything changed since your last appointment?
If yes please specify below.
Signature
Date

DayMonthYear
Date
Additional appointment notes
Has anything changed since your last appointment?
If yes please specify below.
Signature
Date

DayMonthYear
Date
Additional appointment notes
Has anything changed since your last appointment?
If yes please specify below.
Signature
Date

DayMonthYear
Date
Additional appointment notes
Has anything changed since your last appointment?
If yes please specify below.
Signature
Date

DayMonthYear
Date
Additional appointment notes
Has anything changed since your last appointment?
If yes please specify below.
Signature
Date

DayMonthYear
Date
Additional appointment notes
Has anything changed since your last appointment?
If yes please specify below.
Signature
Date

DayMonthYear
Date
Additional appointment notes
Has anything changed since your last appointment?
If yes please specify below.
Signature
Date

DayMonthYear
Date
Additional appointment notes
Has anything changed since your last appointment?
If yes please specify below.
Signature
Date

DayMonthYear
Date
Additional appointment notes
Has anything changed since your last appointment?
If yes please specify below.
Signature
Date

DayMonthYear
Date
Additional appointment notes
Has anything changed since your last appointment?
If yes please specify below.
Signature
Date

DayMonthYear
Date
Additional appointment notes
Has anything changed since your last appointment?
If yes please specify below.
Signature
Date

DayMonthYear
Date
Additional appointment notes
Has anything changed since your last appointment?
If yes please specify below.
Signature
Date

DayMonthYear
Date
Additional appointment notes
Has anything changed since your last appointment?
If yes please specify below.
Signature
Date

DayMonthYear
Date
Additional appointment notes
Has anything changed since your last appointment?
If yes please specify below.
Signature
Date

DayMonthYear
Date
Additional appointment notes
Has anything changed since your last appointment?
If yes please specify below.
Signature
Date

DayMonthYear
Date
Additional appointment notes
If yes please specify below.
Signature
Date

DayMonthYear
Date
Additional appointment notes
Has anything changed since your last appointment?
If yes please specify below.
Signature
Date

DayMonthYear
Date
Additional appointment notes
Has anything changed since your last appointment?
If yes please specify below.
Signature
Date

DayMonthYear
Date
Additional appointment notes
Should be Empty:

Consultation Form

Medical History

Cancellation Policy

Client Declaration

Parental Declaration (if appliacable)

Salon use only