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LYS Beauty Client Record Form



Please list medical history including any medications, illnesses,and allergies both in food and cosmetics. Have you had any recent operations in past 12 months? Have you had cancer in the last 12 months? Have you experienced covid-19 symptoms within the last 14 days? Has anyone in your household experienced Covid-19 Symptoms? Have you recently travelled abroad within the last 14 days ? Are you pregnant? Please enter your GP practice if you have declared any medical history PRIVACY NOTICE LYS Beauty take your privacy seriously and will only use your personal information to provide the services you have requested.Your information on this form will not be shared with 3rd parties with the exception of contacting your GP to gain advice on any medical information that has been disclosed on this form that may be affected by a beauty treatment. Your information will be kept secure and confidential at all times.
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