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Medi Pedi Indy is a sanitary, eco-friendly and non-toxic salon specializing in advanced, waterless e-file pedicures for at-risk feet.
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New Client Consultation
Full Name
Phone Number
Email Address
Date of Birth
Initials
I understand the services I am requesting may include potential risks, such as: Allergic, chemical, or other adverse reactions, which might cause discomfort, illness, or injury. I voluntarily release the nail technician and place of business from any and all liability for any harm, injury, illness, damage, claims, discomfort, demands, action, and causes of action. I agree to the service and will not hold Monica Majors (Bradley) or Medi Pedi Indy responsible for any undesirable outcomes.
Submit
Please check all that apply
Diabetes
Neuropathy
Cancer treatment
Pregnant
Autoimmune disease
Arthritis
Foot or Leg surgery
Circulatory problems
Excessive callus/cracked heels
Psoriasis
Ingrown toenails
Damaged or discolored toenails
Other
This is my first waterless pedicure
I weigh less than 400 pounds
Thanks for submitting!
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