Returning client

If you have not received a facial in more then 6 months please fill out the new client consultation form send to you through your email.

First NameLast Name

have you experienced any new allergies to certain ingredients or products?

yesno

If yes please specify

Any changes to your medical history ?

YesNo

If yes please specify

have you purchased any new retail products since your last facial appointment?

YesNo

If yes please specify what type of products?

What would you like to improve about your skin today ? Please list any skin concerns. *

Is there any products you been thinking about adding to your skin care regimen?

YesNo

If yes please specify what type of products?

please choose any add ons to your service. these services are optional and additional.

$25 dermaplaning (removes peach fuzz)$15 hand and arm scrub + paraffin wax or hand mask ( great for dry aging hands)eye treatment$25 microdermabrasion

I consent to pictures and or videos begin taken of my face during the facial which may be posted on the @bareskin.beauty.spa business instagram page .

Yes, you have my permissionMaybe, I’d like to approve the image firstNo, I do not consent

Post facial instructions: no makeup , swimming pools, hot saunas or Jacuzzi for 24 hours no sweating for 24 hours no facial waxing within 72 hours no exposure to sun within 72 hours stop using any active or exfoliating ingredients within 72 hours.

I have read the post-care instructions above and adhere to them

Important