Parent/Guardian permission form for under 18's

Please fill this form in behalf of your minor you are a parent or guardian and where the treatment will take place. At the end you will add your personal details. You must be in the present at the time of the treatment*

Health & Infection Safety Declaration

I agree not to allow the child to attend the appointment if they develop:

• a temperature higher than 37°C

• a cough or contagious illness

• loss of taste or smell

• or any symptoms that may affect safe treatment

I will inform the therapist immediately if any such symptoms develop within 24 hours prior to treatment.*

Mobile Appointment Requirements

Where a client provides parking instructions, the client confirms they have authority to authorise the parking arrangements provided. Any parking charges, penalties or enforcement costs arising from following the client's parking instructions may be recharged to the client*

Medical & Treatment Safety Declaration

Please disclose any medical conditions, skin conditions, medications, allergies, or recent treatments that may affect your treatment.

Some conditions may require additional medical confirmation or a doctor’s note before treatment can proceed. This will only be requested where necessary for safety and professional assessment.

The therapist reserves the right to delay or refuse treatment if adequate medical information is not provided.*

Declaration of Truth & Consent

I confirm that all information provided in this form is accurate to the best of my knowledge.

I understand that inaccurate or incomplete information may result in treatment being refused or discontinued for safety reasons.

I agree to follow all pre- and post-treatment advice provided.*

Treatment Suitability & Therapist Discretion

All treatments are subject to professional consultation and suitability assessment.

The therapist reserves the right to:

• refuse treatment

• modify treatment

• or recommend an alternative service

if it is deemed unsafe, unsuitable, or outside professional scope of practice.*

I accept terms and conditions and the information I gave is trueDeclaration of Truth & Consent

I confirm that all information provided in this form is true and accurate to the best of my knowledge.

I agree to inform the therapist immediately if any medical or personal details change prior to treatment.

I accept the Terms & Conditions and understand that all treatments remain subject to consultation, suitability assessment, and professional approval prior to treatment.

Certain treatments may also be subject to training limitations, insurance requirements, safeguarding considerations, and treatment-specific suitability assessments.*