Consultation Card

To ensure safety for all, please complete this short questionnaire including questions about COVID-19 and your current health:

Have you tested positive for COVID-19, or been in contact with someone who has in the past 14 days?

Have you been tested positive for COVID-19 and are currently awaiting the test results?

Do you have any of the following flu like symptoms: fever, dry cough, body aches, headaches, sore throat, runny nose, shortness of breath? (Note: This refers to new or unusual symptoms not aligned with medical history. You may exclude known personal medical conditions that have the same symptoms, e.g. allergies, history of migraines)

Are you or your immediate contacts in a high risk category?

Please note, if you answered yes to any of the above questions, unfortunately we are unable to give you an in person treatment. Instead, we would like to offer a Mirror Me virtual service, where we can connect for a digital one on one consultation. Please provide a time and date where we can connect virtually.

What date and time would you prefer? *

Date

Time

What's your name? *

First

Last

What's your email address? *

What's your phone number?

label

I consent to The Beauty Belle Barn for the purposes of carrying out your consultation and keeping a record of your treatments.

Consultation Card

Opening Hours : Monday - Wednesday ( 10am - 6pm) | Thursday (10am - 8.30pm) | Friday 08:45am - 3:30pm | Closed Saturday & Sunday

Opening Hours : Monday ( 10am - 6pm) | Tuesday ( 6pm - 9pm) | Wednesday (10am - 9pm) | Thursday (10am - 8pm) | Friday 9am - 5pm | Saturday - Please Contact for working hours | Sunday - closed