Please enable JavaScript in your browser to complete this form.Name *FirstLastDate Of BirthEmail *Phone NumberFull AddressClient's Signature *We are delighted to give you the best of your choice of treatments. However, we are NOT RESPONSIBLE for any side effects that may occur as a result of the treatments, advice or products and equipment used for your treatments. We do not diagnose or cure diseases or pain of any kind. Our treatments DO NOT REPLACE MEDICATION and you should confirm from your GP before opting for any of our treatments if you are on medication, have a medical condition or general health and wellbeing challenges/issues. In order to do our best, it is your responsibility to let us know your current health situation. Please state any medical conditions, allergies, medication, pregnancy, dermal condition or discomfort to essential oils or implant you may have. By signing this form, you agreed to be contacted with deals, products and promotions in the future and that you will adhere to AFTER CARE advice as required by your choice of treatments. In case of repeated visit, it is your responsibility to let us know of any changes to your health and wellbeing that may affect your treatments.Submit