978-650-2895

3 Littleton Rd Unit 1
Westford, MA 01886
Westford/Chelmsford Line
(Formerly Of Chelmsford)

Please check Appointment Guidelines link before coming to your appointment it will help you understand the new procedures we need to follow. Click here for Client Forms and COVID-19 information and liability waiver online form.

A Spa to Remember Waxing Form

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    Personal Information

    First and Last Name*
    Phone Number*
    Email Address*
    Date of birth*
    Address*
    City*
    State*
    Zip Code*

    A Spa to Remember Waxing Form

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    Referred by*
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    Do you have any known allergies?*
    Diabetes? *
    Are you taking any topical medications? *
    Are you taking any oral medications? *
    If yes, please list:*
    Are you under a Doctor’s care for any skin conditions?*
    If yes, please list:*
    Are you presently using or have you used any of the following products in the past two weeks?
    Check all that apply.
    Have you ever experienced an adverse reaction to a waxing treatment?*
    If yes, please explain:
    By entering your name, date and signature below, you are effectively providing your signature,
    indicating that all the information on this form is true and accurate, to the best of your knowledge.

    Thank you for answering these questions. This information enables us to provide you with the best possible services.