sb-salon.co.uk
07300040002
02381 22 87 86
Mon-Sat: 9:00-20:00
Sun: 10:00-18:00
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Menu
Home
Our Services
Threading
Brow Lamination & Tint
Manicure
Pedicure
Acrylic Nails
Lash-Lift
Lash Extensions
Body Waxing
Body Massage
Henna
Facials
Contact
Jobs Apply Now
Blog
Offers
Book at Millbrook
Book at Totton
Consolation Disclaimer Form
0. Treatment Setup
0.1 Therapist
Select therapist
Seema
Deep
Alka
Priya
0.2 Treatment Slot
0.3 Treatments
None
Body Massage
Hot Stone Massage
Facial
Dermaplaning Facial
0.4 Form Refer
1. Client Details
1.1 Name
*
1.2 Contact
*
1.3 Email
*
1.4 D.O.B
1.5 Age category
*
18+
80+
Under 18
2. Parent/Guardian/Emergency Contact
2.1 Name
2.2 Contact
2.3 Relation
2.4 Under 18: guardian authority & consent
I confirm I am the client’s parent/legal guardian, I have authority to consent on their behalf, and I consent to the treatment.
3. Health & Screening
3.1 Medical conditions / allergies
*
3.2 Current medications
*
3.3 Current status
None
None
Pregnant
Breastfeeding
Under medical care
3.4 Had this before?
*
Yes
No
3.5 Skin sensitivity / past reactions
None
None
Sensitive skin
Previous reaction to products
3.6 Recent sunburn / tanning (last 48 hrs)
*
No
Yes
3.7 Treatment area condition
None
None
No broken skin
No rash
No infection
No cuts
No open wounds
3.8 Pressure preference (Massage)
Not Applicable
Not Applicable
Light
Medium
Firm
Deep
3.9 Additional notes
*
4. Consent & Conditions
4.1 Age & consent
I confirm I am 18+ and legally able to consent, OR if I am under 18 I am attending with a parent/legal guardian who consents on my behalf.
4.2 Under 18 guardian consent
If the client is under 18, I confirm I am the parent/legal guardian and I consent to the treatment.
4.3 80+ capacity & fitness
If I am 80+, I confirm I understand the treatment, I am medically fit to receive it, and I have disclosed any age-related conditions that may affect treatment safety.
4.4 Medical disclosure + duty to update
I have disclosed all relevant allergies, sensitivities, medical conditions, and medications, and I agree to inform the salon of any changes before future appointments.
4.5 Stop treatment if uncomfortable
I will tell my therapist immediately if I feel pain, burning, discomfort, dizziness, or unusual symptoms, and I understand treatment may be stopped for safety.
4.6 No guarantee / results vary
I understand results vary and certain risks may occur (e.g., temporary redness, irritation, allergic reaction, nail damage).
4.7 Reaction & emergency action
If I experience an unusual or unexpected reaction, I will notify Seema’s Beauty Salon and seek medical advice. I understand that despite professional care and best practice, adverse or unforeseen reactions may occur. For serious symptoms, I will contact a healthcare professional immediately.
4.8 Aftercare + balanced responsibility
I understand aftercare is my responsibility and results may be affected if advice is not followed. I understand the salon is not responsible for adverse outcomes where relevant information was not disclosed or aftercare advice was not followed.
4.9 Aftercare if no email/SMS
If I do not provide details to receive electronic communication, I accept responsibility for obtaining aftercare in hard copy before leaving the salon.
4.10 Contact details handling
If I choose not to provide an email address and/or contact number, I authorise the salon to use placeholder or salon-held contact details solely to submit and securely store this form.
4.11 Privacy & records
I understand my information is recorded for treatment history, safeguarding, and insurance purposes, stored securely, and retained only as long as necessary.
4.12 Photos for records
I consent to photos being taken for record-keeping and treatment documentation (where applicable).
4.13 Right to refuse / cancel / reschedule
I understand the salon may reschedule, refuse, or cancel any appointment or service for valid reasons (late arrivals, health/hygiene concerns, inappropriate behaviour, unsuitable condition for treatment, staff availability/emergencies).
4.14 Reporting misconduct
We maintain a zero-tolerance policy. Any serious misconduct may be reported to the appropriate authorities and may lead to legal action.
4.15 DOB / Age verification
If I do not provide my date of birth, I understand age verification and safeguarding checks may be limited. The salon may request identification or refuse/restrict treatment for safety, legal, or insurance reasons.
4.16 Ask questions (aftercare)
I will request clarification before leaving if I have any questions about aftercare advice.
4.17 Informed consent
I confirm the treatment, process, and potential risks were explained to me, and I had the full opportunity to ask questions before the treatment.
4.18 Terms, accuracy & acknowledgement
By proceeding with this treatment at Seema’s Beauty Salon, I confirm I have read, understood, and agree to the full Terms & Conditions. I confirm the information I provided is true, accurate, and complete.
4.19 Photos for marketing (Optional)
I consent to photos being used for marketing/social media (Optional).
4.20 Master consent (Required)
*
I confirm I have read and understood the consent, risks, aftercare and salon conditions above. By ticking this box, the related acknowledgements will be selected for convenience, and I understand I am agreeing to them.
5. Signature
5.1 Client signature
*
5.2 Print name
*
5.3 Sign date & time
*
5.4 Staff notes
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