Paula Durance

About
Aesthetics Wrinkle Softening Injections Dermal Fillers Lip Fillers Skin Boosters Hyperhidrosis Underarm Sweating Dissolving Dermal Filler
Treatments Aesthetic Peels and Packages Dermaplaning Hydro Glow Facial System LED Lumineo Light Therapy Microneedling/ Derma-Pen Reverse Peel (Melasma/Hyperpigmentation) PRX-T33 Sculpt (HIFEM)/ Sculpt Pro (HIFEM +RF) Stretch Marks Treatment Enquiry Form
Makeup Services Bridal Occasions Masterclass
Testimonials
Terms and Conditions
Contact
Beauty Blog

Paula Durance

About/
Aesthetics/
Treatments/
Makeup Services/
Testimonials/
Terms and Conditions/
Contact/
Beauty Blog/

Paula Durance

Treatment Enquiry Form

Paula Durance

About/
Aesthetics/
Treatments/
Makeup Services/
Testimonials/
Terms and Conditions/
Contact/
Beauty Blog/

Skin Aesthetic Treatment Enquiry Form

Name *

First Name

Last Name

Email *

Mobile Number *

Age *

Please tick if relevant to you *

Pregnant

Breastfeeding

Warts

Cold Sores

Eye Infections

Dark pigmented skin

Hyper sensitive skin

Auto- Immune Disease e.g. Eczema, Psoriasis

Dermatitis

Any other history of facial infections/ diseases/ additional information about your skin (please explain below)

Allergies (latex, nickel, stainless steel any other please explain below)

Cancer/ Suspected Cancer/ Cancer Treatment

Currently using Retinol/ Vitamin C/ Tretinoin/ Topical Acne Medications/ Any other skin medication

Sculpt Pro/Sculpt Only- Any metal/electrical devices in the body, Copper Coil/IUD, implants, recent surgery

None of the above

Other medical/health history:

Have you used Roaccutane within the last 12 months? *

Skin Type and Routine *

Please add information about products used and past treatments

Skin Concerns *

Please list your skin concerns in order of priority

Treatments *

What treatment/s are you interested in?

Skin Renewal

Snow Glow

Glycolic 40%

Eye corrector

Hyperpigmentation/Melasma Package

Microneedling

Dermaplaning

PRX-T33

Hair Loss

Light Therapy (LED)

Sculpt Pro/Sculpt

Stretch Marks

Hydro Glow Facial System

Body Lightening PTX-T Lady

LVL Lashes

Offer

If you have selected 'Offer' please state which offer you are interested in:

Any question or further information

Photos of skin concerns

Please can you send your photos of the areas you wish to treat to info@pauladurance.com with the subject: "your full name"

What is your gender? *

My Lone Working Policy is to ensure the safety and integrity of me and my clients. In some circumstances it may be agreed that another member of the PD team or a client's family member be present during the consultation and/or treatment. In addition being aware of my clients gender allows me to meet their treatment needs.

Terms and Conditions *

Paula Durance holds your personal details above so that you can receive services, without these details Paula Durance will be unable to provide a full service. It is important that the personal data we hold about you is accurate and up-to-date. Please keep us informed if your personal data changes as this will have an impact on being able to fulfil the treatment wholly. Please read 'Terms and Conditions' at www.pauladurance.com/termsandconditions if you agree with Terms and Conditions please tick Yes.

Yes

Thank you for completing the enquiry form.

I will aim to get back to you within 3-5 working days. If you wish to book an online Zoom/face to face consultation there will be a charge of £30 to be paid prior to your appointment. This £30 consultation fee can be redeemed towards a listed treatment.

About/
Aesthetics/
Treatments/
Makeup Services/
Testimonials/
Terms and Conditions/
Contact/
Beauty Blog/

Paula Durance

Paula Durance is an experienced professional makeup artist based in Leicester covering the surrounding counties, specialising in bridal and occasion makeup. She also owns her own luxury brand, Ardere Cosmetics.