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Beauty Consultation

Your Details

Value is required
Value is required
Value is required

General Beauty Consultation

The below confidential questions are being asked to provide the best service possible. This information will not be shared and will help us to ensure your safety and ultimately determine the best treatment plans and home care for your unique skin type. Please tick all that apply.

Value is required
Value is required
Value is required
Value is required
Value is required
Value is required

Your Skin Consultation

Please tick all that apply.


Please agree to the terms and conditions below:
I confirm that to the best of my knowledge, the answers I have given are correct and I have not withheld any information that may be relevant to my treatment. I certify that the preceding medical, personal and skin history statements are true and correct. I am aware that it is my responsibility to inform my therapist of my current medical and health conditions, and to update any changes, as a current medical history is essential for him/her to execute appropriate treatment procedures. I understand that the clinic reserves the right to charge for appointments cancelled or broken without 24 hours notice.
Value is required
Thank you!