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 Consultation Form

Personal Info

Medical History

Health Conditions:

Client Release Statement

I have read, understand and completed this questionnaire truthfully. I understand that withholding information may result in undesired results and/ or irritation to the skin or nails from services received.The professional services I receive from Breeanna Pro are voluntary, and I release her from liability and assume full responsibility thereof. I understand that if I do not notify cancellation within 24 hours, I forfeit my deposit.

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