Healthy Happy Feet

Client Intake Form

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Phone: (314) 948-3600

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Client Intake Form

For us to serve you at our very best, we need to know you better. Please fill out the following information. Thank you!

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General Health

If so, please discuss this with your technician.

(We are unable to service any areas shaved in this timeframe.)



Manicure/Pedicure Services:



Photos remain confidential to protect your privacy, apart from direct physician diagnosis. There is no compensation due to either party. Permission may be revoked at any time with written notice. (Unless otherwise agreed to above.)


Safety of the guest is of upmost importance, if at any time the technician feels the guest is jeopardizing the safety of the service provided, the service will end immediately, and guest will still be liable for all charges.


This appointment has been scheduled with the understanding that it is a block of time scheduled as much as the service. Healthy Happy Feet reserves the right to require a late cancellation fee for less than 24 hours advance notice. Healthy Happy Feet reserves the right to charge the full booked services for a No-Show appointment.



** We are not doctors and do not provide any form of diagnosis. **


**We do not treat feet that require medical attention first. **