CLIENT INFORMATION

First Name

Last Name

Téléphone

Date

Occupation

Address Line

City

State

Zip Code

What are your concerns and what are you expecting to see in the next few weeks/ months ahead ?

What products are you currently using?

I acknowledge that it is my responsibility to provide accurate information. I consent to receive services from Natures Paradise Spa and agree to the terms of service. I understand that the effectiveness of the products is not guaranteed, and I voluntarily choose to proceed with the service. I release Natures Paradise Spa from any liability for any issues that may arise during this period.

Consultation Form

CLIENT INFORMATION AND CONSENT

Skincare History