Indemnity Form

Please fill out this indemnity form as soon as you booked your treatment.

Nouvelle Ere Beauty Spa & Boutique Guesthouse

Please fill out the Indemnity Form

Please provide of with important medical information about the following:

Any injuries, surgeries or operations (within 2 years) *
Pregnant/Breastfeeding *
Chronic Medications *
Any Allergies *