New Client form

All new clients require a patch test at least 24 hours before their appointment

Please fill this form out prior to your patch test

First name

Last name

Your Address

Date of birth

Email

Telephone number

Medical details

Allergy to latex?

Allergy to plasters?

Allergy to any nail products?

Asthma?

Light sensitivity?

Eye disorders e.g conjunctivitis

Claustrophobia?

Contact lens wearer?

Taking HRT or steroids?

Pregnant?

Oily skin or hair?

Chemotherapy in the last 6 months?

Lashes lifted or tinted in the past 6 weeks?

Had lash extensions in the past 6 months?

Any skin issues eg. Eczema

Any other allergies or information you'd like the beautician to be aware of?

I accept terms and conditionsView terms and conditions

Date

Your Signature

Thanks for submitting!

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