Consultation Form


    I declare that the above information I have given concerning my health is correct and I have read and understood the questions asked and I have not withheld any information that may be relevant to my treatments.

    Signature: sign using your mouse or track pad.

    Lilly’s Beauty Pad takes privacy seriously. As the data controller of the personal data that you provide on this form, we will use your personal data for the purposes of carrying out your consultation and keeping a record of your treatments. Please refer to our full privacy policy for more information about your rights and how we use your personal data. If you have any questions, please contact us [email protected]

    I consent to Lilly’s Beauty Pad using my personal data to contact me using the methods set out below to advise me of new products, and to provide me with marketing and product information.

    You can opt-out at any time by clicking on the unsubscribe link we provide in our communications.

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