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Client Consent Form

Please fill out consent form before your spa service.

Also fill out the Covid 19 Screening Questions:

Mandatory every client wear a mask.

Upon arrival, you will be asked to wash your hands at the bathroom sink and we will also have hand disinfectant rub available to use.

All questions with (*) must be filled out. Only fill out questions pertaining to services you will be receiving.



Email Address*

Date of the Service MM/DD/YYYY*

Covid 19 Question 1: Do you have any cold or flu-like symptoms?*

Covid 19 Question 2: Have you returned from travel (including travel within Canada) in the last 14 days OR had *exposure to a confirmed positive case of COVID-19.*

How did you hear about us?*

What services are you getting done today?*

Do you have any allergies to cosmetics, skin care, food or Drug?*

Choose if you are effected by or have of the following:*

Indicate other illnesses not mentioned above (if none please put N/A)

FACIAL ONLY: What is your skin type?

What is your skin care routine (Please select all that applies)

What areas of concern do you have regarding your skin? (Select all that apply)

WAX ONLY: (Please select all that applies)

Read the before and after of waxing, Please Click on the link at buttom of the page.


MASSAGE ONLY: What is the purpose of your massage?

PLEASE NOTE that waxing does have side effects such as skin removal, redness, swelling, tenderness, etc and that anyone showing signs of redness, rashing, open or abraded skin, psoriasis or Eczema cannot receive waxing services. Anyone having just received a microdermabrasion treatment or an acid peel cannot have a waxing service to the same area. Anyone with a history of Herpes Simplex I or II has been advised that waxing services may cause an outbreak to re-surface.

Contact Information

iTouch Spa

Phone: 613.276.2209



346 Duval Lane, Orleans, ON

Hours of Operation

By Appointments only

Mon-Thu: 9:30 am-7:00 pm

Saturday and Sunday: Closed

Most Fridays and Saturdays are reserve for Wedding makeup and Spa parties.

We are closed on all Canadian Statutory Holidays.

Parking: Please park in the driveway but pick one side of the driveway to park, other clients can park in.

Please email or text your inquiry or 613-276-2209

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