Client Form
The following information is required for your safety and to benefit your health
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Email *
Full Name *
Date of Birth *
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Preferred Contact Number *
At S R Hair Studio we take your privacy seriously. For the safety of our clients, we maintain records of any health or medical conditions which may indicate that a particular service or treatment should not go ahead (eg allergies, pregnancy, skin conditions) or a particular product should not be used (eg products containing nuts, fish oils etc). These health records are not used for any other purpose.  Client records are held securely within our salon software system  and can only be seen by members of the salon team. Please tick the box below if you consent to us: *
Required
Do you suffer with any of the following? *
Required
If you have checked any of the above, please give details
Are you currently on any medication or medical supervision? if yes, please give details
Have you had any surgery or operations in the last 6 months? If yes, please give details:
Are you pregnant or breast feeding? *
I have read and understood the questions asked and confirm that the answers I have given are correct and that I have not withheld any information that may be relevant to my treatments.   *
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