Unit 820 – Provide and Maintain Nail Enhancements
Treatment Evidence Form
College Name:
College Number:
Learner Name:
Learner Number:
Date:
PERSONAL DETAILS
Age group: Under 20 20–30 30–40
Lifestyle: Active Sedentary
Last visit to the doctor:
GP Address:
No. of children (if applicable):
Date of last period (if applicable):
Client Name:
Address:
Profession:
Tel. No: Day
Eve
40–50
50–60
60+
CONTRAINDICATIONS REQUIRING MEDICAL PERMISSION – in circumstances where medical
permission cannot be obtained clients must give their informed consent in writing prior to treatment
(select if/where appropriate):
Haemophilia
Recent operations of the hands or feet
Any condition already being treated by a GP,
Diabetes
dermatologist or another practitioner
Inflamed nerve
Medical oedema
Undiagnosed pain
Arthritis
Acute rheumatism
Nervous/Psychotic conditions
CONTRAINDICATIONS THAT RESTRICT TREATMENT
Fever
Infectious or contagious diseases
Under the influence of recreational drugs or
alcohol
Diarrhoea and vomiting
Any known allergies
Undiagnosed lumps and bumps
Inflammation
Cuts
Bruises
Abrasions
Scar tissue (2 years for major operation and 6
months for a small scar)
Recent fractures (minimum 3 months)
(select if/where appropriate):
Sunburn
Repetitive Strain Injury
Carpal Tunnel Syndrome
Severely bitten or damaged nails
Nail separation
Eczema
Psoriasis
Loss of skin sensation
Chilblains
Corns
Verrucae
Wart(s)
DISEASES AND DISORDERS (select if/where appropriate):
Beau’s line
Blue nail
Bruised nail(s)
Discoloured nails
Eczema
Flaking
Koilonychia
Lamella dystrophy
Leuconychia
Onychatrophia
Onychauxis
Onychia
Onychogryphosis
Onycholisis
Onychomycosis
Onychophyma
Onychoptosis
(Tinea Ungium)
Paronychia
Pitting
Psoriasis
(Whitlow)
Sepsis
Severely bitten/
Vertical ridges
picked skin around
the nail
Unit 820 Provide and Maintain Nail Enhancements
Dermatitis
Hang nail(s)
Mould
Onychocryptosis
Onychophagy
Onychorrhexis
Pterygium
Transverse ridges
Treatment Evidence Form
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NAIL TEST:
Moisture content
Cuticle condition
Skin condition
Skins healing ability
Circulation
Excellent
Excellent
Dehydrated
Excellent
Good
Good
Good
Dry
Good
Normal
Fair
Fair
Normal
Fair
Poor
Poor
Poor
Poor
Overall Skin/Nail condition:
AREA TO BE TREATED:
Toe nails
Fingernails
Treatment (select if/where appropriate):
Natural nail overlays
Natural tips and overlays
Full set
Infill
Rebalance
Nail system used:
Liquid and powder
UV gel
Removal
Wrap
Treatment details:
(Must include before and after photographs of treatment)
Client feedback:
Home care advice:
Client’s Signature…………………………………………………
Learner’s Signature……………………………………………….
Unit 820 Provide and Maintain Nail Enhancements
Treatment Evidence Form
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