Welcome! This intake form is a supplement to the Confidential Skincare Intake Form. Both forms contain important information for safe consideration of your interest in the Plasma Lift Treatment! If you are a longtime Spa Aeon skincare client but are new to Plasma Lifting, please fill out a fresh copy of the regular Confidential Skincare Intake Form so we can properly plan for your home skincare use before and after this treatment.
Here you will find many sensitive but important questions, so please fill it out privately, fully, and at a time when you have all of your skincare products, medications, and supplements at hand, and be sure to keep scrolling until you have answered everything, signed, and clicked Submit. The health and lifestyle topics addressed herein ALL have the potential for affecting your skin or causing interactions with aspects of your treatment at Spa Aeon... if they didn't, they would not be included.
Your Health Intake and Treatment Notes are held in the strictest confidence.