• Client Consultation Form

    Your privacy is very important. The following information is only used to assess your skin care goals, determine what treatments are appropriate for your skin condition and to avoid any possible reactions.
  • After your treatment you will need to avoid working out, heavy sweating, steam rooms and/or saunas for at least 24 hours.

    Walking and drinking lots of water are encouraged as they are both benefical in gently flushing the skin of cellular waste that may be released during your treatment.

  • Smoking greatly reduces healing of the skin and will effect the outcome of your treatment. It is best to avoid smoking 24 hours before and after your treatment. 

  • Female Clients

  • Skin Care History

  •  -  - Pick a Date
  • Should be Empty:
Jotform Logo
Now create your own JotForm - It's free! Create your own JotForm