sb-salon.co.uk
07300040002
02381 22 87 86
Mon-Sat : 09.30-20:00 |
Sun : 11:00-18:00
Parking
Directions
Share
Google
Facebook
Instagram
Book with TW
Book with US
Menu
Home
Our Services
Threading
Brow-Lamination-Tint
Manicure
Pedicure
Acrylic Nails
Lash-Lift-Extension
Body-Waxing
Body-Massage
Henna Tattoo
Facials
Contact
Join Us
Blog
Book with TW
Book with US
Consultation Form
Therapist Name
Alka
Priya
Seema
Eva
Leah
Location
Client Details:
Client Full Name
Email (Optional)
Contact Number (Optional)
Date of Birth
AGE
Under 16
Under 18
18 or 18+
Parent/Guardian Details for under 18:
Name
Contact Number:
Relation to the client:
Guardian Sign
Guardian Sign date
Proof id client/Parent id
❌
❌
Client Health Details
Please tick if you have any of the following health conditions
Pregnant
Aids/ Hiv
Cancer
Diabetes
Heart Problems
Hepatitis
High/Low Blood Pressure
Lupus
Recent Surgeries
Injuries or (Recent Injuries)
Strokes
Other
None
Additional information health conditions
What areas of concern do you leave regarding your skin?
Breakouts/Acne
Blackhead/Whiteheads:
Dull/Dry Skin
Excessive Oil/Shine
Wrinkles/Fine
Dehydrated
Rosacea
Broken Catillaries
Enlarged Pores
Uneven Skin Tone
Sun Damage
Flaky Skin
Other
None
Is there any other information listed or not listed above / Surgery treatments/ any of the allergy I should know before beginning your treatment?
Are you currently using any of the following?
Retin A/Renova
Glycolic Acid/Alpha Hydroxy Acid Birth Control Pills
Hormone Replacement Therapy Hydroquinone
Topical Vitamin C Accutane
Sunscreen/ Sun Block
Other
None
Are you using or have ever used any medications?
Acne
Cold Sores
Smoke
Had facials before
Tan
Electrolysis
Laser hair removal
Waxing (recently)
Other
None
Are you currently using skin care products ?
Other-medications/additional infomation:
client sign
client sign Date
Terms and Conditions
By proceeding with this or any treatment at Seema's Beauty Salon, I confirm that I have read, understood, and agree to the full terms and conditions outlined on https://sb-salon.co.uk/terms-conditions/.
It is your responsibility to inform Seema's Beauty Salon of any pre existing and all health conditions It is also your responsibility to inform Seema's Beauty Salon of any discomfort during/ after any session I understand and accept any risks of which I have been advised associated with the agreed upon skin treatment I release Seema's Beauty Salon from all liability arising from any injury and/or damage from failure to inform Seema's Beauty Salon of any pre-existing conditions, limitations, specific sensitivities, and/or any discomfort during/ after the treatment I agree to keep Seema's Beauty Salon updated as to any changes in my medical profile. if there is an issues with the treatments all client s must consultee/inform/ must come as soon as possible to Seema's beauty salon (in emergencies situation/ out of hour clients can / may contact doctors / hospital) if required
Terms and Conditions
By proceeding with this or any treatment at Seema's Beauty Salon, I confirm that I have read, understood, and agree to the full terms and conditions outlined on https://sb-salon.co.uk/terms-conditions/.
Acknowledge
By signing below, I(Client) confirm and acknowledge the following: You have read, understood, and voluntarily agree to the terms of this waiver. All information you have provided is true and accurate to the best of your knowledge. You were advised to undergo a patch test, and the risks of not having one were clearly explained. You had the opportunity to ask questions and received all relevant information about your treatment. The information was explained to your satisfaction and understanding.
Submit
WhatsApp us
