I'm doing my own consultation forms now and want to double check I covered everything!
I've done a search and added anything I had missed but want to make sure!
Would really appreciate your feedback and any additions you can think of!
Thanks
Heres what I have and its just a rough copy so might be a few mistakes with spelling!
Consultation form
Name
Address
Tel Mob
Email
D.O.B
Doctors name and address
Have you suffered any recent accidents or injurys?
If yes please state what and when
Have you had any recent surgery?
If yes, when and where on the body
Have you got any allergies?
If yes, please state
Have you got any sunburn or recently used a sunbed?
Do you have any medcial conditions?
Asthma Diabetes Cancer Heart problems epilepsy varicose veins skin conditions Other
Do you take prescribed medication?
 
Are you or could you be pregnant or breastfeeding?
If yes, how far into pregnancy are you?
 
Do you suffer with headaches or migranes?
What treatments have you had before if any and how often?
 
Facials only
What is you current skincare routine if any?
What skin type do you think you are?
Dry oily comb sensitive mature normal dehydrated
What is your main skin problem/priority?
Massage only
Do you suffer from aches and pains?
If yes where?
What type of massage would you like?
Realxing detoxifying distressing deep tissue uplifting
 
Manicure/pedicure only
Do you or have you suffered from nail fungal infections, veruccas, warts, corns,?
What is the condition of your natural nail?
Lash extensions and tinting only
Do you or have you suffered with eye infections or sensitivity?
Have you had a reaction to tinting or lash extensions in the past?
Patch Test
I confirm that I _______________________________________ was given a patch test for lash extensions/tining on ______________________________
Please sign _____________________________________________
 
I declare that all the above information is correct and I have informed my therapist of accurate details to questions asked and I agree to inform my therapist of any changes.
Please sign ______________________________________________
Date ________________________
 
Repeat visit
Date Treatment Sign
 
 
 
I've done a search and added anything I had missed but want to make sure!
Would really appreciate your feedback and any additions you can think of!
Thanks
Heres what I have and its just a rough copy so might be a few mistakes with spelling!
Consultation form
Name
Address
Tel Mob
D.O.B
Doctors name and address
Have you suffered any recent accidents or injurys?
If yes please state what and when
Have you had any recent surgery?
If yes, when and where on the body
Have you got any allergies?
If yes, please state
Have you got any sunburn or recently used a sunbed?
Do you have any medcial conditions?
Asthma Diabetes Cancer Heart problems epilepsy varicose veins skin conditions Other
Do you take prescribed medication?
 
Are you or could you be pregnant or breastfeeding?
If yes, how far into pregnancy are you?
 
Do you suffer with headaches or migranes?
What treatments have you had before if any and how often?
 
Facials only
What is you current skincare routine if any?
What skin type do you think you are?
Dry oily comb sensitive mature normal dehydrated
What is your main skin problem/priority?
Massage only
Do you suffer from aches and pains?
If yes where?
What type of massage would you like?
Realxing detoxifying distressing deep tissue uplifting
 
Manicure/pedicure only
Do you or have you suffered from nail fungal infections, veruccas, warts, corns,?
What is the condition of your natural nail?
Lash extensions and tinting only
Do you or have you suffered with eye infections or sensitivity?
Have you had a reaction to tinting or lash extensions in the past?
Patch Test
I confirm that I _______________________________________ was given a patch test for lash extensions/tining on ______________________________
Please sign _____________________________________________
 
I declare that all the above information is correct and I have informed my therapist of accurate details to questions asked and I agree to inform my therapist of any changes.
Please sign ______________________________________________
Date ________________________
 
Repeat visit
Date Treatment Sign