Consultation Form
Mingala Day Spa
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Email *
Full Name *
Mobile Number *
Use format 0871234567
Age *
What treatment are you having? *
List the treatments you will be having in your next appointment
Patch Testing: I understand that it is my responsibility to book a patch test 24hrs prior to my treatment (if getting any treatment listed below). If I do not book a patch test but still arrive for the treatment I will be refused the treatment by the Mingala Team but I will still be charged the full price of the treatment. *
Patch Test required for: waxing, Eyelash Lift, brow lamination, brow tinting, lash tinting, glycolic peel, AHA Lactic Peel,
Have you had any of the common symptoms (as per HSE) or a positive test for COVID-19 in the last 10 days, or have you been in contact with anyone in the last 5 days who was positive with COVID-19? *
Are you fully vaccinated against COVID-19? *
I confirm that I release the staff member(s) performing the service and the business from any and all liability related to the spread of any infectious diseases. I accept any reasonable risk. *
Do you suffer from any of the following medical conditions?
Select any of the below conditions that are relevant to you
Are you Pregnant?
Clear selection
If "Yes", how many weeks are you pregnant?
Are you currently taking any medication or under any medical supervision?
Clear selection
If "Yes", please give details:
Have you had any recent surgery, accidents or injuries?
Clear selection
If "Yes", please give details:
Skin Type and Concerns:
What is you’re current skincare routine?
Body Concerns:
Do you have any other issues that your therapist should know before starting your treatment?
I confirm that if I am in any doubt about my health I will obtain a medical clearance cert before having any treatment in Mingala Day Spa. *
Required
I have read Mingala Day Spa’s privacy policy, available on www.mingala.ie, and I give my consent for my personal data to be used in accordance with this policy. *
Water will not be provided in the salon. If you feel you may need water before or after your treatment please bring your own small bottle with you. Bringing water is recommended for massage or other spa treatments.
Important information:
Clients visit Mingala Day Spa at their own risk. Mingala Day Spa does not accept any liability in relation to the transmission of infectious diseases either on or off the business premises. By confirming and attending for your appointment you release Mingala Day Spa of any liability relating to the transmission of infectious diseases including COVID19. Please be confident that Mingala Day Spa has taken prudent steps to minimise the risks of COVID19 in as much as is reasonably practical.
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