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healthcare Questionnaire

Health Questionnaire

Your safety matters – help me tailor your treatment

Before your first treatment at Beauty by Stella, it’s important that I understand a little more about you. Completing the health questionnaire below allows me to tailor your treatment safely and effectively, taking into account any allergies, medical conditions, or sensitivities you may have.

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Your wellbeing is my top priority, and this form ensures I can provide the highest standard of care, with full confidence that your treatment is both suitable and beneficial.

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Please take a moment to fill in the form below before your appointment. If you have any questions, feel free to get in touch – I’m always happy to help.

Client Health & Consultation Form

Please complete this form before your first appointment. The information you provide allows me to tailor your treatment safely and effectively. All details are kept confidential and stored securely for insurance purposes.


Fields marked with * are required.

Personal Details

Date of birth
Day
Month
Year
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