[]
1 Step 1
What would you want us to focus on for your treatment?
Choose one of the following which best describes your skin type:
Do you have any allergies?
Are you taking any medication for acne?
Do you have any of the following skin conditions?
Do you have any of the following skin conditions?
Have you experienced skin sensitivity to any product or facial treatments?
Have you had any of the following advanced facial treatments in the last 2 months?

I hereby agree and confirm that:-

  • I understand that the treatments and services provided by The Spa Nomad Pte. Ltd. are intended only for general wellness purposes and are not intended to substitute professional medical treatment for any condition, medical or otherwise;
  • I have disclosed all my known health conditions, limitations, allergies and/or physical ailments to The Spa Nomad Pte. Ltd., and agree to keep such information up to date and accurate;
  • I understand the product(s) and treatment(s) to be provided to me and my queries on the same (if any) have been addressed to my satisfaction, and I agree to accept any risks arising in connection therewith; and
  • I shall fully release, indemnify and hold harmless The Spa Nomad Pte. Ltd., its affiliates, representatives, employees and contractors from and against all liabilities, claims, expenses, damages and losses, including legal fees (on an indemnity basis) arising out of or in connection with the products and treatments provided to me.

I further agree that this consent supersedes any previous verbal or written disclosures, and shall remain valid for all future treatments.

Please tick to indicate your agreement to the above.
keyboard_arrow_leftPrevious
Nextkeyboard_arrow_right
FormCraft - WordPress form builder

KEEP IN TOUCH

+642108702430

KEEP IN TOUCH