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New Client Information & Health History

Please fill out this form completely so that we can provide you with services customized to meet your needs.

Any information provided on this form is kept confidential and is solely used by the Sugar & Hive Beauty Bar staff.


Section 1: General Client Information
Name *
Name
Phone *
Phone
Date of Birth *
Date of Birth
What service(s) are you receiving today or plan to receive in the future? *
Select all that apply:
Section 2: Personal Health History