Tel: 0116 2866 575
Home
Beauty Treatments
Facials - Spa & Aesthetic
Holistic Treatments
Massage
CACI
Tanning
Laser Hair Removal
IPL Laser Offer
Waxing
Lashes & Brows
Lash & Brow Models
Hands & Feet
Spa Treatments & Packages
Pamper Parties
Mens Grooming
Gift Vouchers
Beauty Offers...
News & Events
Recruitment
Oasis Model Program
Blogs & News
Contact Us
Booking Enquiry
Click & Collect
Health Questionnaire
Retreat days
Pre Appointment Health Questionnaire
*
Indicates required field
Name
*
First
Last
Name of the person wishing to visit oasis & claim the discount
Mobile Number
*
Email
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
HEALTH RELATED QUESTIONS
DO YOU HAVE ANY CURRENT MEDICAL CONDITIONS?
*
I CURRENTLY HAVE NO MEDICAL CONDITIONS
YES I HAVE A MEDICAL CONDITION - And will list these below
If one or more consition applies please list in the box below
*
High blood pressure
Low blood pressure
Epilepsy
Medical Back problems
Asthma
Heart disease
Arthritis/Rheumatisum
Gynecological problems
Diabetes
Migraine
Pregnant
Allergies to anything
Stress related conditions
Undergoing treatment for cancer
A positive aids/hepatitis test
No medical conditions
These questions allow us to know that the treatments select are suitable and safe for you.
Please list all medical conditions below, this helps us to adapt our treatments to best suit your needs and prevent contraindications.
*
No Medical conditions- Type NONE below
ARE YOU TAKING ANY MEDICATION?
*
Yes
No
If you've selected YES please give the details below
*
Please give further details, If none, TYPE NONE
If you've knowingly had an allergy to any treatment or ingredients kindly enter the details below.
*
If not applicable please type NONE if YES please type the details here.
Remember a patch test is required for Lash & Brow Tint, Lash Perm, IPL-Laser & Microblading. Please book 48hrs in advance.
*
I don't require a patch test
Lash Tint Test Required
Brow Tint Test Required
Lash Perm Test Required
Microblading Test Required
Laser/IPL Test Required
I've taken a patch test @Oasis in the last 6 month
If you request a patch test, please rember to book in 24 hrs prior to your appointment
I would like to recieve an occasional Newsletter with your latest Health, welbeing and clinical treatments & savings
*
YES
OCCASIONALLY
NO
I hereby warrant that the above information is correct. On the assumption that attention is given by the staff of Oasis Health & Beauty, whilst receiving or taking part in any activity related to the treatments, use of equipments or advice recommended. I confirm that neither Oasis Health & Beauty or its staff are responsible for me if any injury to health or well-being is incurred. I'm also happy to receive confirmation emails/messages from Oasis and understand that personal information is stored according to European GDPR regulations and not shared out of the group.
*
YES! I AGREE TO THE ABOVE STATEMENT
By sending this form you are agreeing to this statment
CLICK HERE TO SEND
Back to the
Booking form
or
Pre appointment advice