top of page
Jennifer Hunt - Business Card.png

Facial Treatment

Client Consultation Form

Client's Information

Birthday
Month
Day
Year
Gender
Male
Female
Non-Binary

Skin Concerns and Goals

Skin History

Multi choice

Medical Information

Multi choice
Are you currently under a physician's care?
Yes
No

Emergency Contact

Skin Care History

How did you hear about us?

Consent and Agreement

I understand that the facial treatment is not a substitute for medical treatment or advice. I have provided accurate information to the best of my knowledge. I consent to the facial treatment and agree to follow the technician's recommendations for aftercare and skincare.

Date
Month
Day
Year
Date
Month
Day
Year

Call or Text Jennifer

(214) 267-8356

​

Spa Location:

Studio 77 Salon & Spa

3390 N Hwy 77

Waxahachie, TX 75165

Jennifer Hunt - Business Card.png
  • Instagram
  • Facebook

© 2035 Phoenix Beauty. Site Design: Chase Life

Ask about gift cards for

holiday gift-giving!

bottom of page