sb-salon.co.uk

    0. Patch Test Setup
    0.1 Therapist
    Select therapist
    0.2 Treatments Slot
    0.3 Treatments
    Select treatment(s)
    0.4 Form Refer (Auto)
    1. Client Details
    1.1 Name *
    1.2 Contact *
    1.3 Email *
    1.4 D.O.B
    1.5 Age category *
    2. Guardian / Emergency Contact (Optional)
    2.1 Name
    2.2 Contact
    2.3 Relation
    2.4 Under 18: guardian authority & consent
    3. Treatment History & Reactions
    3.1 Have you had this treatment before? *
    3.2 If Yes: where did you last have it?
    3.3 Reaction to similar products/treatments? *
    3.4 If Yes which products?
    4. Client Health Details
    4.1 Are you on any Medications? *
    4.2 Health issues / skin conditions / allergies *
    4.3 Injuries/surgeries*
    4.4 Are you pregnant? *
    4.5 If you answered “Yes” to any health question: provide details *
    5. Patch Test, Consent & Conditions
    5.1 Patch Test Status *
    5.2 Patch Test Date
    5.3 Patch Test Time
    6. Signature
    6.1 Client signature *
    6.2 Print name *
    6.3 Sign Date & Time
    6.4 Staff notes