Kaymac Beauty
Facial Treatment Client Consent Form

Welcome to Kaymac Beauty

Please complete the form below before your appointment.
All fields marked with * are required.

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Client Information
Please enter your full name.
Please enter your date of birth.
Please enter your age.
Please enter your address.
Please enter your city.
Please enter your phone number.
Please enter a valid email address.
Medical Information

Please check any that apply:

Skin History

Please check any that apply:

Current Skincare Routine
Consent & Agreement
You must confirm this to proceed. You must consent to the treatment to proceed. You must agree to the aftercare terms to proceed.
Client Signature *
Sign here with your finger or mouse
Please provide your signature.
Please enter today's date.

A copy of this completed form will be emailed to you and to Kaymac Beauty.
Your information is kept strictly confidential.

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Thank you!

Your consent form has been received. A confirmation copy has been sent to your email address.

We look forward to seeing you at your appointment! 💗