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Forms

Please complete all forms for She Esthetics to enhance your personalized experience. This information allows me to tailor services to your needs, whether it's facials, body treatments, or skincare advice. I look forward to supporting your wellness and beauty journey in our community.

Health declaration

Please fill out the following form.

First name*

Last name*

Email*

Date of birth*

Month

Day

Year

Have you been hospitalized in the last 12 months?

No

Yes

Are you suffering from a medical condition, illness or injury?

No

Yes

Are you using any topical prescriptions from a physician?

No

Yes

Have you experienced sensitivity from any skincare products?

No

Yes

At your appointment, is there anything related to your mind, body, or soul that you would like to discuss?

No

Yes

Are you currently pregnant?

No

Yes

Have you ever experienced a professional skincare service, such as a facial, body wrap, warm wax hair removal, or spray tan?

No

Yes

Are you allergic to anything?

No

Yes

If you answered yes to any of the questions above, please supply additional information.*

Give a detailed description here

Initial*

Please initial here

I declare that the info I’ve provided is accurate and complete.

Photography consent & release form

First name

Last name

Email*

Date of birth

Month

Day

Year

I hereby give my consent to use my photographs according to the Terms & Conditions.

Terms and Conditions*

Select one

Confirm with your initials*

Thank You for Visiting!

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