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
Consultation & Disclaimer Form
1. Client & Treatment Details
1.1 Therapist
Select therapist
Seema
Deep
Alka
Priya
1.2 Treatment Slot
1.3 Full Name
1.4 Treatments
Select treatments
Body Massage
Hot Stone Massage
Facial
Dermaplaning Facial
1.5 Contact Number
1.6 Email Address
1.7 Age Category
18+
80+
Under 18
1.8 Date of Birth
2. Parent / Guardian / Emergency Contact (if applicable)
2.1 Name
2.2 Contact
2.3 Relationship
3. Health & Screening
3.1 Medical conditions / allergies
*
3.2 Current medications
*
3.3 Current status
Select
None
Pregnant
Breastfeeding
Under medical care
3.4 Had this before?
Select
Yes
No
3.5 Skin sensitivity / past reactions
Select
None
Sensitive skin
Previous reaction to products
3.6 Recent sunburn / tanning (last 48 hrs)
*
Select
No
Yes
3.7 Treatment area condition
Select
Select
None
No broken skin
No rash
No infection
No cuts
No open wounds
3.8 Pressure preference (Massage)
Not Applicable
Select
Not Applicable
Light
Medium
Firm
Deep
3.9 Additional notes
*
4. Consent & Conditions
4.1
Master consent (Required)
By ticking this box, I confirm that I have read, understood, and agree to all consent statements below. This is required to submit the form.
4.2
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.
4.3
Under 18 guardian consent
If the client is under 18, I confirm I am the parent/legal guardian and I consent to the treatment.
4.4
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.
4.5
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.
4.6
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.
4.7
No guarantee / results vary
I understand results vary and certain risks may occur (e.g., temporary redness, irritation, allergic reaction, nail damage).
4.8
Reaction & emergency action
If I experience an unusual or unexpected reaction, I will notify Seema’s Beauty Salon and seek medical advice. For serious symptoms, I will contact a healthcare professional immediately.
4.9
Aftercare + balanced responsibility
I understand aftercare is my responsibility and results may be affected if advice is not followed.
4.10
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.
4.11
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.
4.12
Privacy & records
I understand my information is recorded for treatment history, safeguarding, and insurance purposes, stored securely, and retained only as long as necessary.
4.13
Photos for records
I consent to photos being taken for record-keeping and treatment documentation (where applicable).
4.14
Right to refuse / cancel / reschedule
I understand the salon may reschedule, refuse, or cancel any appointment or service for valid reasons.
4.15
Reporting misconduct
We maintain a zero-tolerance policy. Any serious misconduct may be reported to the appropriate authorities and may lead to legal action.
4.16
DOB / Age verification
If I do not provide my date of birth, I understand age verification and safeguarding checks may be limited.
4.17
Ask questions (aftercare)
I will request clarification before leaving if I have any questions about aftercare advice.
4.18
Informed consent
I confirm the treatment, process, and potential risks were explained to me, and I had the full opportunity to ask questions.
4.19
Photos for marketing (Optional)
I consent to photos being used for marketing/social media (Optional).
4.20
Terms, accuracy & acknowledgement
I confirm I have read, understood, and agree to the full Terms & Conditions, and that all information provided in this form is true and accurate.
5. Signature
5.1 Client signature
*
5.2 Print name
*
5.4 Staff notes