Treatment Application Consent FormAn Allergy Alert Test must always be done 48 hours BEFORE the FIRST colour treatment and the results recorded.Personal InformationName(Required) First Last Email(Required) AllergiesDo you have sensitive, itching, damaged scalp or rash on face?(Required) Yes NoDo you have any allergies or reaction to a tattoo, henna or black henna tattoo or permanent make-up?(Required) Yes NoDo you have any allergic reactions to any skin product or perfume?(Required) Yes NoDue to you answering Yes to at least one of the above questions, we're unfortunately unable to proceed with your colour application. Please seek medical advice and provide consent from GP.Are you taking medication for allergies?(Required) Yes NoIf this is your first colour treatment, we will need to perform an allergy test to ensure you don't have a reaction to the colour.Is it more than 12 months since last Allergy Alert Test(Required) Yes NoIs it more than 6 months since last colour (self or professional)(Required) Yes NoHave you had a tattoo, henna or black henna tattoo or permanent make-up since last colour?(Required) Yes NoHave you had a reaction to any hair dye since last professional colour?(Required) Yes NoHave you taken medication for allergies?(Required) Yes NoHave you decided to change brand or brand product range(Required) Yes NoIf the answer to any question above is YES, we need to carry out an Allergy Alert Test.Authorisation and ConsentGDPR(Required)As of the 25th May 2018 as new EU legislation called GDPR is effective, this affects everyone, you as the consumer have rights to your data and what businesses do with it. In order for us to continue your services smoothly we need you to complete the form below to give your consent for us to collect, use and store your personal data: I confirm that I understand how you use and store data and I give my permission to the business to collect and handle and store my personal data for treatment and appointment purposes in accordance with GDPR guidelines 25th May 2018 Yes NoMarketing(Required)I agree that you can contact me for marketing purposes (such as monthly newsletters) and appointment reminders via text and emailI confirm that I understand how you use and store data and I give my permission to the business to collect and handle and store my personal data for treatment and appointment purposes in accordance with GDPR guidelines 25th May 2018 Yes NoPhotography(Required)I agree that you can store and use and photographs taken of my treatment on your social media platformsI confirm that I understand how you use and store data and I give my permission to the business to collect and handle and store my personal data for treatment and appointment purposes in accordance with GDPR guidelines 25th May 2018 Yes NoDeclaration(Required) I have answered all of these questions truthfully.Signature(Required)
