Free Beauty Parlor Color Patch Test Form Template
Beauty Parlor Color Patch Test Form
Please complete this form prior to your appointment.
Name
Phone Number
Date of Patch Test
Do you have a history of allergies to hair dyes or related products?
Have you experienced any skin sensitivities or reactions in the past?
Do you have any existing skin conditions?
Are you currently taking any medications that may affect your skin?
If yes, please specify:
Consent and Acknowledgment
I acknowledge that the patch test does not guarantee that I will not experience an allergic reaction during or after the full treatment. I agree to wait at least 48 hours after the patch test before undergoing the full hair coloring service. By signing below, I confirm that I have read and understood this consent form, and I voluntarily agree to proceed with the patch test.
Name:
Date:
Thank you for your submission!
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