Beauty, Body and Facial Treatment Record

Complexions Beauty Salon

Please complete this form in full. All details are held in confidence and will not be shared without your consent.

Medical History

Skin Condition

For Tinting/Eyelash Treatments

Please note: If you have not had treatments at this salon in the last 6 months, you will be required to have a patch test at least 24hrs before receiving any treatment.

I confirm that I understand the treatment and contra-indications, and that the above statements are true, knowing that the technician needs the information for correct treatment of my condition and that the technician cannot accept any responsibility for any injury suffered by me attributable to my not having given full and true answers to the above questions.