Beez New Client Application

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First Name (Nombre Primero)* This field is required.If you are filling 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 are filling for a client that is under 18 please fill out the form with THE CLIENTS information NOT THE GUARDIAN.
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Email (Correo Electrónico)* This field is required.
example@example.com
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Cell Phone (Teléfono Celular)* This field is required.
cell phone number
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Necesitas servicios en español? (do you need services in Spanish)* This field is required.
SiNo
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Are you over 16?* This field is required.
YESNO
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WE DO NOT TAKE CLIENTS UNDER 16

PLEASE STOP HERE
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How did you hear about us or who referred you?* This field is required.
Google
Instagram
Yelp
Facebook
TikTok
Walked By
Friend
Family
Doctor
Other
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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 are a direct referral, or feel this may be a mistake, please email us directly at EMAIL US.

PLEASE STOP HERE
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Which best describes you?* This field is required.CHECK ALL THAT APPLY
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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What results are you wanting to achieve? Is there anything else you'd like to share?Please type your questions or concerns below.* This field is required.
please share your thoughts
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Your consultation includes...

A Deep Dive Consultation

Skin analysis

Nutrition & lifestyle assessment

Home care instructions tailored to your specific skin concern/s.

We CAN help you even if...

New to acne facials and/or treatments

You are NOT CLEAR YET

Tried everything w/no results

You don't know what to do

Transferring from another clinic

You're CLEAR now, wanting to focus on minimizing future breakouts

Need acne clinic in your area for maintenance & continued care

Pregnant with acne
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You have the choice of an in-person consultation or virtual. Please choose which format you'd prefer.
In-Person
Virtual
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VERY IMPORTANT!!!!!

The 1st appointment is approx. 1.5 hours please plan accordingly!
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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 $180- $300, varying in usage timeline.
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BASED ON YOUR ANSWERS So Far We Are Perfect For You!

PLEASE READ THE BOOKING INSTRUCTIONS CAREFULLY!
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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 IN-PERSON OR VIRTUAL CONSULTATION.

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.
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You'll be receiving a few follow up emails from us with more information on how to prepare for your 1st appointment

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.

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

CLICK SUBMIT TO CONFRIM YOU have read the above and understand the booking instructions.
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Please verify that you are human* This field is required.
Should be Empty:

PLEASE READ CAREFULLY!