Client Information Form

Please read and fill out and submit form.

The information is collected for the use of the staff of Diana’s Divine Escape and is never shared with 3rd parties unless it is a medical emergency.

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We provide Regular Pedicures, Manicures, Advanced Pedicures, Toenail & Fingernail Cutting. As well as Facials and Waxing. Hair Services are now available!

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NOW Available Reiki, Reflexology and Indie Head Massage!!

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Hair Services are NOW Available! 

​For WRHN Hospital Services Diana will email you forms to fill out.

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​Taxes are included. 

Parking fee may apply.