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DNAILED Studios

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Name *

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Age *

Email *

Mobile Number *

What style of nails. The occasion or the purpose *

Past Nail History. Are your nails currently done? If so, please state what service or NA for none. *

Past Medical, Nail and Skin History *

NIL Poor quality nails and skin Fungal skin infection including nails Dermatitis or Psoariasis Thin flaking nails Peeling soft, dry, dehydrated nails Exposed nail bed, nail plate missing Active infection Viral or Bacterial to fingers or nail bed Open wound or bruising to nail bed or fingers Other

Please expand on above, or advise on any other relevant Medical History *

Medications. Write NIL if none. *

Allergy to medication. Write NIL if none. *

Allergy to any Nail Products. Write NIL if none. *

Covid 19 Questionnaire. Please tick as appropriate. *

I have no Covid 19 symptoms, or been with anyone who has Covid 19 symptoms in the last 14 days. I have no close Covid 19 contacts, or had close contact with anyone who has been tested in the last 14 days. I have not been required to self isolate, or been in MIQ in the last 14 days. I have not visited any places of interest in the last 14 days. I HAVE been double vaxed. I WILL present 'My Vaccine Pass' prior to treatment.

Many thanks for your enquiry we will contact you soon. Dnailed Studios.

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Covid19.
In keeping with MOH guidelines.
Prior to your treatment please complete the Pre Treatment Covid Questionnaire, above.
Upon arrival text Dnailed mobile 021 1624242 from your car.
You will receive a welcome response advising you to meet us at the entrance.
Please wear your mask at all times and have your 'My Vaccine Pass' ready to be scanned.
Many thanks DM

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Remuera Ponsonby Howick Pakuranga Drury Browns Bay Warkworth Whangarei Kerikeri Doubtless Bay

Ideal date and time *

Treatments Required *

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Please note this does not confirm your booking. We will get in touch with you to confirm your appointment time.
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belinda@facedoctors.co.nz

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DNAILED Studios

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