Sorellina Clinic
Client Consent Forms
Complete the relevant form before your first treatment. Stored securely on file, with a copy emailed to our team and to you.
Laser Hair Removal & IPL Consent Form
Complete before your first laser or IPL treatment. A free patch test must be completed at least 48 hours before your first session.
Complete before your first laser or IPL treatment. A free patch test must be completed at least 48 hours before your first session.
Personal Information
Medical History — Tick all that apply
Consent Declaration
Signature
Sign using mouse or finger
Securely stored on file · A copy is emailed to our team and to youSubmit Consent Form
✓ Laser consent form submitted. Please bring photo ID to your appointment.
Anti-Wrinkle Consent Form
Required before any anti-wrinkle injection. All injectable treatments by Nima, our qualified practitioner.
Required before any anti-wrinkle injection. All injectable treatments by Nima, our qualified practitioner.
Medical History — Tick all that apply
Consent Declaration
Signature
Sign using mouse or finger
Securely stored on file · A copy is emailed to our team and to youSubmit
✓ Anti-wrinkle consent form submitted.
Dermal Filler Consent Form
Required before any filler treatment. A medical procedure requiring fully informed consent.
Required before any filler treatment. A medical procedure requiring fully informed consent.
Medical History — Tick all that apply
Consent Declaration
Signature
Sign using mouse or finger
Securely stored on file · A copy is emailed to our team and to youSubmit
✓ Filler consent form submitted.
Skin Booster Consent Form
Profhilo Structra, Polynucleotides, Jalupro, Mesotherapy, Sunekos and all skin booster injections.
Profhilo Structra, Polynucleotides, Jalupro, Mesotherapy, Sunekos and all skin booster injections.
Consent Declaration
Signature
Sign using mouse or finger
Securely stored on file · A copy is emailed to our team and to youSubmit
✓ Skin booster consent form submitted.
Facial & Skin Treatment Consent Form
Covers Hydra Facials, microneedling, peels and all advanced skin treatments.
Covers Hydra Facials, microneedling, peels and all advanced skin treatments.
Consent Declaration
Signature
Sign using mouse or finger
Securely stored on file · A copy is emailed to our team and to youSubmit
✓ Facial consent form submitted.
Nail & Beauty Consent Form
All nail services, waxing, threading, lash/brow, microblading and permanent makeup.
All nail services, waxing, threading, lash/brow, microblading and permanent makeup.
Consent Declaration
Signature
Sign using mouse or finger
Securely stored on file · A copy is emailed to our team and to youSubmit
✓ Nail & beauty consent form submitted.
Hair Service Consent Form
Colour, bleaching, keratin, Brazilian blow dry, extensions. Patch test required 48 hours before colour for new clients.
Colour, bleaching, keratin, Brazilian blow dry, extensions. Patch test required 48 hours before colour for new clients.
Consent Declaration
Signature
Sign using mouse or finger
Securely stored on file · A copy is emailed to our team and to youSubmit
✓ Hair services consent form submitted.