Beauty - Consultation

This form is for in salon consultations.  Please use the contact form on the homepage for general enquiries. 

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Please enter your General Practitioner's (GP) information below.

Do you have/had any of the following (select all that apply)
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Your Signature

Have you had eyelash extensions before?
If yes, did they meet your expectations?
Do you wear contact lenses?
Are you currently receiving treatment from a medical professional?
Are you currently taking prescribed medication?
Do you have any allergies/sensitivities to products?
Have you ever had an allergic reaction to adhesive or tape?
DECLARATION : I confirm that the information is correct, to the best of my knowledge. I understand that the Therapist is relying on this information to provide a safe and effective treatment. I take full responsibility for any information I have not given correctly and will undergo a patch test at least 48 hours prior to the treatment. I understand that infill treatments will be required to maintain the appearance of my lashes and that additional charges may apply. I have received aftercare advice. All deposits are non refundable and in the case that appointment should be cancelled or rescheduled, the deposit will be added to your account as credit as long as any changes or cancellations have been made outside of a 48 hour window leading up to your appointment.  If this should happen within that 48 hour window, then the deposit will be lost.  Signing this means you adhere to these rules.