Color Intake Form
Have you colored your hair in the past 3 years?
Please check all the types of color you have had.
Please choose any of the following you have had in the last 3 years.
Some medications and other drugs may affect hair's receptivity to dye, like anesthesia, thyroid medications, chemotherapy, and some types of hormonal medications. Have you taken any of these medications?
Have you washed your hair recently with hard water of well water?
Haircolor Goals
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Hair Density (choose one)
Hair length
Hair type / Curl pattern
After completing this form, do you feel like you have selected the right services?
Allergic reactions may occur when haircolor is applied directly to the scalp or skin. A patch test is recommended at least 48 hours prior to any color/tint services
Disclaimer: Pricing displayed are starting prices and may vary due to length, thickness and necessary step sto acheive desired color. Quotes are estimates only and additional services may be needed. if you have questions regarding pricing, please email me or ask during our consultation.
Terms of service: If you fail to disclose any information about your hair that causes the service to not go as expected, there may be added fees to correct it.
I hereby release Stacey Fogel, her assistant and any stylists employed in the salon, and Orchid Hair Studio llc from liability of allergic reaction or any damages.

Thanks for submitting!