Massage Consultation Form - Niagara Waters Spa Page 2
ADVERTISEMENT
1
2Special Conditions/Concerns:
Acknowledgement
I, the undersigned, have accurately filled out the above consultation bringing attention to any specific conditions or
concerns. I understand the reason for this and I am aware that all discussions are confidential. I agree not to hold the
practitioner or any associated party responsible for any problems occurring after my treatment based on misinformation or
lack of information I have given.
Date:
Customer Signature:
Date:
Esthetician Name:
Client Follow-up Sessions
2nd Esthetician Name (Print):
Date Reviewed:
Comments:
Client Initials:
3rd Esthetician Name (Print):
Date Reviewed:
Comments:
Client Initials:
4th Esthetician Name (Print):
Date Reviewed:
Comments:
Client Initials:
5th Esthetician Name (Print):
Date Reviewed:
Comments:
Client Initials:
6th Esthetician Name (Print):
Date Reviewed:
Comments:
Client Initials:
7th Esthetician Name (Print):
Date Reviewed:
Comments:
Client Initials:
8th Esthetician Name (Print):
Date Reviewed:
Comments:
Client Initials:
9th Esthetician Name (Print):
Date Reviewed:
Comments:
Client Initials:
10th Esthetician Name (Print):
Date Reviewed:
Comments:
Client Initials:
11th Esthetician Name (Print):
Date Reviewed:
Comments:
Client Initials:
12th Esthetician Name (Print):
Date Reviewed:
Comments:
Client Initials:
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business