Spa Consultation Form

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Client Details

Title: *

Full Name: *

Address: *

Email: *

Contact Number: *

Date of Birth: *

How did you hear about us? *

How would you like to receive special offers and promotions for the spa? *

Email Text Mail I do not want to receive offers/promotions

Medical Information

Do you have any medical conditions? *

Please list: *

Are you currently taking any medication? *

Please list: *

Do you have any allergies or intolerances? *

Please list: *

Are you currently, or trying to become, pregnant? *

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Consent

Please read each statement carefully and tick to show your agreement. *

I accept that any treatment I receive at the spa is at my own risk. I certify that I have read and fully understood and completed this form to the best of my knowledge. I understand that failure to disclose information requested above may result in adverse side effect(s) from treatment(s) received and therefore I accept full liability/responsibility for the information given. The treatment(s) and possible side effect(s) have been fully explained to me. I accept full responsibility for the treatment given and complications which may arise or result during or following any procedure that is performed at my request. I accept that if I am not satisfied with the treatment I will inform the therapist and/or request to speak to the manager during or immediately following the treatment. I fully understand the above and consent to receive a spa treatment.

Client Signature: *

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Data Protection and Privacy

We are committed to protecting your privacy. We take special precautions with your sensitive personal data and we will process your data lawfully and as described. We only process the data we need for as long as we need to and we respect all of your rights under GDPR. We will never sell, share or otherwise abuse your data. You can contact us at any time to request your data, change your preferences or request that your data be deleted. GDPR is the European privacy law designed to protect you and give you control of your data.

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