07999933042
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Threading
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07999933042
Google
Facebook
Instagram
WordPress
Cart-arrow-down
Home
Services
Threading
Brow Lamination & Tint
Manicure
Padicure
Acrylic Nails
Lash Lift Extension
Body Waxing
Body Massage
Henna Tattoo
Facials
Contact Us
About Us
Home
Services
Threading
Brow Lamination & Tint
Manicure
Padicure
Acrylic Nails
Lash Lift Extension
Body Waxing
Body Massage
Henna Tattoo
Facials
Contact Us
About Us
Book Now
07999933042
Google
Facebook
Instagram
WordPress
Cart-arrow-down
Book Now
Home
Services
Threading
Brow Lamination & Tint
Manicure
Padicure
Acrylic Nails
Lash Lift Extension
Body Waxing
Body Massage
Henna Tattoo
Facials
Contact Us
About Us
Home
Services
Threading
Brow Lamination & Tint
Manicure
Padicure
Acrylic Nails
Lash Lift Extension
Body Waxing
Body Massage
Henna Tattoo
Facials
Contact Us
About Us
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Clients Claims
Clients Claims
Client Details:
Client Name
Treatments client/i (client) receiving
Threading
Tint
Lash extension
Lash Lift
Brow Lamination
Waxing
Manicure
Pedicure
Shellac Nails
Acrylic Nails
body massage
hot stone massage
facial
dermaplaning facial
henna tattoo
Date & Time of incident
Date & Time of Report
Revisit Date & Time
Revisit for inspection Date & Time
Did the client received the aftercare ?
Yes
No
Unknown
Client medical questions:
Did the client visited the hospital?
Between the injury and doctor visit has the client had any other salon, friends, and family member attempt the treat the area of injury?
Yes
No
Unknown
Has Client applied any cream, PRODUCT (taken medicine) or anything on the injured area?
If the client had applied any cream or other products has the client checked manufacturer guidelines?
Yes
No
Unknown
Has the client got medical report from doctor / hospital?
Did the doctor prescribed client any medicine?
Is the client currently on any medicine?
Yes
No
Unknown
Have the client taken any time off work due to injury coursed us?
Therapist Details
Therapist Name
Staff Email
Were you working under supervision? If yes please state the name of supervisor below:
Are you qualified to under take the treatment?
Yes
No
Unknown
Product used for treatment ''is it suitable & safe product for the treatment?''
Yes
No
Unknown
Have you followed the correct procedure ?
Yes
No
Unknown
Have you followed all the Safety Measure & training?
Yes
No
Unknown
Did the client left satisfied after the treatment?
Yes
No
Unknown
Did the client objected for anything before, after during the treatment?
Yes
No
Unknown
Has the client had this treatment before?
Yes
No
Unknown
Was there a settlement demand from unsatisfied client? if yes please describe below:
Statement
Have you had the disclaimer signed by the client? If yes please upload
Yes
No
Unknown
Please attach followings & tick them:
Disclaimer form
Before After Photos
Qualifications corticates
Product label used
Transition proof
Treatment history
Cctv Footage
Medical report
Attach your qualification certificate & other files
❌
❌
Staff sign:
I hereby acknowledge that I have read and understood all the information provided above, which I affirm to be 100% true and accurate to the best of my knowledge. I recognize that any intentional inaccurate or false information may result in strict legal action against me by the company.
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