Consultation Form

A client consultation form should include the following;

  • Date
  • Clients name and address
  • Date of Birth
  • Daytime/Work/Evening telephone numbers
  • Therapists name
  • Occupation of client
  • Hobbies of client
  • Doctors name, address and telephone number
  • Related medical history
  1. Do they smoke?
  2. Are they pregnant/
  3. Any children?
  • Do they have a history or currently suffer from
  1. Asthma
  2. Migraine
  3. Allergies
  4. Diabetes Type 1 or 2
  5. Skin diseases/conditions
  6. Recent scars
  • Current medication? List all
  • Hand/Nail condition. In detail
  • Foot condition. In detail
  • Previous Nail Treatments. Tick all that client has previously had.
  1. Manicure
  2. Pedicure
  3. Liquid and Powder
  4. Gel
  5. Fibreglass Wraps
  6. Silk Wraps
  7. Tips only
  8. Medical Treatments
  • A list of the therapists terms and conditions
  • Include boxes for client to tick that confirm they understand and agree to;
  1. Your terms and conditions
  2. The treatments and procedures you offer
  3. That they have received aftercare leaflets for manicure, pedicure and/or nail enhancements
  4. To adhere to the aftercare
  • A section for therapists signature
  • A section for clients signature

Comments

Post new comment

The content of this field is kept private and will not be shown publicly.
  • Web page addresses and e-mail addresses turn into links automatically.
  • Allowed HTML tags: <a> <em> <strong> <small> <sup> <sub> <cite> <blockquote> <code> <p> <img> <u> <ul> <ol> <li>
  • Lines and paragraphs break automatically.

More information about formatting options