Before your appointment

Colour patch test & consent

Full Balayage with Amara Okafor

Thursday 3 July, 9:30 · please complete at least 48 hours before

Your details

Full name

Date of birth

Mobile

Health & allergy check

Have you ever had a reaction to hair colour or dye?

Any skin conditions, allergies or sensitivities?

Are you pregnant or breastfeeding?

Taking any medication that affects the skin or scalp?

Consent

I understand a skin patch test must be carried out at least 48 hours before my colour service. The information I have given is accurate and complete to the best of my knowledge. I consent to the treatment and to Aurora storing this form securely as a record.

Signature

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Signed on todayAurora Hair & Beauty

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Consent signed

Thank you. Your form has been sent securely to Aurora and a copy is on its way to your email.

FormColour patch test & consent

AppointmentFull Balayage · 3 Jul

Signed byHannah Lewis

ReferenceAC-0000

Filed to the salon's records in real time