Consultation Form
This form only needs to be filled out once per customer. These are questions that I need to know to properly and safely perform your manicure and pedicure so please answer truthfully. I have some of the best clientele in the world and I appreciate all of you who make my schedule run smoothly. Still, due to an influx of last-minute cancellations, there is a $15 non refundable booking deposit required to secure your mani/pedi appointment at my home studio, no exceptions. Mobile appointments are required a $50 non refundable deposit, no exceptions. Be sure you are adding the date of your appointment in the description with your deposit. Please note, that without payment, your appointment request will be voided. At the time of appointment, I accept cash and checks ONLY. I do not accept cc/cash app payments at this time. After you have completed this form, to schedule an appointment in my home studio, please head back to the website to book. For mobile appointments, I will be in contact with you shortly. Thank you!
Name of person receiving service(s)
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First Name
Last Name
Address
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Street Address
Street Address Line 2
City
State
Zip Code
Phone Number
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Please enter a valid phone number.
Email
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In case of conflict or concerns, I need to be able to contact you. Please enter your current email address.
Are you requesting a Mobile Appointment?
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Please Select
Yes
No
Mobile appointments are accepted on Monday & Tuesday only and must be approved through me first before booking. For on demand nail services my regular prices plus a $50 travel fee will apply, no exceptions and must be paid via venmo to secure your appointment.
Do you have a referral?
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Did anyone refer you to me? Please list.
Please check off any that apply.
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Do you have any other special concerns you would like to discuss?
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Do you have any known allergies to scents or cosmetic ingredients?
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By agreeing below, you attest that you have provided accurate and current information on the form and answered all medical and health related questions truthfully and completely. Your signature also certifies you understand that The Nail Polisher has the right to deny service(s) to any client due to a health condition he or she has that may pose risk or contamination to service areas. Furthermore, signing below verifies that you understand you are responsible for informing The Nail Polisher of any and all changes to your health condition as regard to any question on this form or any potential public health risks that may arise from any change in your health condition.
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I agree
Submit
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