Beez New Client Application

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First Name* This field is required.If you are applying for a client that is under 18 please fill out the form with THE CLIENTS information NOT THE GUARDIAN.
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Last Name* This field is required.If you don’t provide a valid name you won’t get an appointment
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Cell Number* This field is required.If you don’t provide a valid number you won’t get an appointment
Area Code
Phone Number
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Email* This field is required.If you don’t provide a valid email you won’t get an appointment
example@example.com
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Our Acne Services Address The Following:

New to acne facials

You are NOT CLEAR

Tried everything w/no results

You don't know what to do

Transferring from another clinic

You're CLEAR now, wanting to focus on anti-aging while minimizing future breakouts

Need acne clinic in your area for maintenance & continued care

pregnant with acne

The New Acne Client Appointment INCLUDES:

Consultation Treatment Plan

Nutrition Assessment Facial

LED Extractions (depending on state of your skin)

Most of the products you will need

(if you are coming from another clinic and on a treatment plan we will discuss if you will need products)

The Consultation INCLUDES:

Consultation Treatment Plan

Nutrition Assessment Skin Assessment
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Based upon Our Service Menu, what service are you thinking you may need? If you are under 18 we recommend booking a consultation only 1st.* This field is required.check all that apply
New Acne Client starting at $395 (most home products required are included)
In Person Consultation $95
Virtual Consultation $85
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We DO NOT perform acne treatments on clients not using OUR reccomended home care products. Home care products are VITAL to your success for treating acne and preventing new acne from forming. Every product we carry has been thoroughly researched and tested.

Indiviual home care products range in price, a complete home routine typically ranges from $200- $300, varying in usage timeline.
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Which best describes your skin?* This field is required.select the best answer
I have acne currently
I maybe occasionally have "congestion"/small bumps/blackheads.
I used to have acne, but now I'm clear.
I've never been to an acne clinic but I use face reality or vivant skin care, and I got your info from their website.
I never had acne, I've always been clear.
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At this time, The Beez Kneez Skin Care & Acne Clinic is NOT accepting NON-ACNE CLIENTS. If you feel this may be a mistake, please email us directly at info@thebeezkneezsf.com. If you'd like to get waxing, brow lamination and/or lashes, please continue with the application.

To purchase products go to

Shop Online Here

VIP WAITLIST HERE
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When was your last facial?* This field is required.
I’m on a regular cycle, less than 6 weeks ago
More than 8 weeks less than a year
Way too long! (over a year)
Never, you'll be my first :)
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CHECK ALL THAT APPLY* This field is required.Which best describes you?
I'm committed to clearing my skin. I've never been to an acne clinic.
I went to the dermatologist and things are not getting better. I'm ready for change.
I'm just shopping around for a facial place.
I'm coming from another acne clinic but still breaking out and haven't been clear YET.
I'm on maintenance, I'm coming from another acne clinic.
ummm... I thought I would get clear after only ONE TREATMENT???
I have a big event I want to be clear for less than 3 months away
I fell off in my treatments but ready to return.
I'm busy, and frequently have to reschedule last minute.
I only am looking for just one facial for a special occasion.
I'm not ready to commit to in person treatments, I need virtual.
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If you are just shopping around there is no need to finish this form.

All the details about our service are on our website.

Please only continue if you want to become a client.
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What results are you wanting to achieve? Is there anything else you'd like to share?* This field is required.
please share your thoughts
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VERY IMPORTANT!!!!!

NEW ACNE CLIENT APPOINTMENTS ARE ON WEEKDAYS ONLY

Your FIRST appointment is approx. 2hours long

ONCE YOU ARE AN ESTABLISHED CLIENT YOU WILL BE ABLE TO BOOK EVENING AND WEEKEND APPOINTMENTS

If for some reason you absoultely can NOT make a work please email us

info@thebeezkneezsf.com

Giving available days & times,Be as specific as possible!
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If you don't plan on booking NOW please don't select i'm ready to book. NEW CLIENT APTS ARE ON WEEKDAYS ONLY* This field is required.Please Select One
I'm READY! Let's find an open WEEKDAY that worksI'm NOT ready to book. I Have some questions. Or I need another day.
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Please type your questions or concerns below. Or if WEEKDAYS don't work for your 1st appointment, what days do? We can call you when available an time opens up.* This field is required.
type your questions here
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PLEASE READ CAREFULLY!

You need a credit card to hold your appointment

Step 1: Once you click submit you'll be taken to the booking page, you'll want to choose your SERVICE.

Step 2: You will be taken to our calendar with our available appointments

Step 3: Select the Time you prefer.

Step 4: Follow the prompts to book your appointment.

Step 5: If you're unable to find an appointment time that works well for you, you can put yourself on our waitlist

Step 6: add info@thebeezkneezsf.com to your contacts and always check your junk mail to make sure you don't miss our emails. You'll be receiving a few follow up emails from us with more information on how to prepare for your 1st appointment

If you have any troubles or questions, please email us and we'll get back to you as soon as possible.

I have read the above and understand the booking instructions
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ALL OF YOUR IMPORTANT DOCUMENTS, INSTRUCTIONS, APPOINTMENT REMINDERS, ETC ARE SENT VIA EMAIL!

IF YOU UNSUBSCRIBE AND MISS YOUR APPOINTMENT YOUR ARE RESPONSIBLE! WE DON'T SPAM.
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Please verify that you are human* This field is required.
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Tags
Todo
In Progress
Done
Should be Empty:

Consultation	Treatment Plan
Nutrition Assessment	Facial
LED	Extractions (depending on state of your skin)
Most of the products you will need

Our Acne Services Address The Following:

The New Acne Client Appointment INCLUDES:

(if you are coming from another clinic and on a treatment plan we will discuss if you will need products)

The Consultation INCLUDES:

PLEASE READ CAREFULLY!