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Appointment Consent Form

Please fill out this form prior to your appointment

Upload File
You can upload multiple files here (Max 15MB)
Upload File
You can upload multiple files here (Max 15MB)
How often do you go to salon for hair treatment?
How long is your hair?
What is the current condition of your hair?
What is the condition of your scalp?
Have you use the following in your hair before?

Is there something that could affect your hair color?

How did you hear about us?

Any special instructions, comments, or suggestions?

By signing this form, I acknowledge that I have read the previous material and truthfully answered the questions. 

I consent to the provision of hair care services and agree to release Annette Marie Ha from any liability that may result therefrom. 

I agree to follow all precautions and do the home care procedures specified by my service provider.

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I understand that Annette Marie Hair will take all reasonable steps to minimize or eliminate any unwanted reactions.

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Appointment Consent Form

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