Client Consultation Area

Welcome to our Client Consultation area.

We need to know a little bit about you before your treatment begins.

Your client consultation is specific to you and provides information which enables me to provide a confident, professional service.

This consultation becomes a crucial part of your beauty journey and ensures that any treatments you undertake are not detrimental to your well being.

Please read our Terms & Conditions and Policies here;

Client Form

Name*
First Last
Address*
Street Address Address Line 2 City Post Code
Your Email*
Your Mobile Phone Number*
Your Landline Phone Number*
Your Date of Birth*

Day
Month
Year
Name in Case of Emergency*
First Last
In case of Emergency
Phone*
In case of Emergency
Emergency Contact Relationship to You

In case of Emergency
Medical History Please provide relevant info here
Have you had previous Beauty Treatments?
Medication that affects skin or nails
Do you have any allergies?
Have you had a patch test? if so when?

Day
Month
Year
Are you pregnant or planning a pregnancy?
Do you have diabetes or take blood thinning medication?
Other
Is there anything else I should be aware of ?
Terms & Conditions*
- Yes, I have read, understood and agree to the Terms and Conditions
- Yes, I have read, understood and agree to the GDPR Policy
- Yes, I have completed the COVID-19 Questionnaire
- Yes, I have read, understood and agree to the COVID-19 Policy
- Yes, I would like to receive occasional offers from La Beaute Boutique
Signature
Date
MM slash DD slash YYYY
Name
This field is for validation purposes and should be left unchanged.

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