New Guest Appointment Form

New Client Application Form

Interested in working with me? So glad to hear that! The Advanced Skin Analysis is an in-person appointment and is your first step to loving your skin. To get started, please fill out the form below. It allows me to evaluate your situation more closely, after which I can share with you how I can help you. Note that once you become a client, you will fill out an additional, more detailed form, which will allow me to dive deep into your skin history and current skin condition, all necessary for me to create the best healing plan possible.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
I don't really want treatments and I'm interested in the consultation only so I can focus on caring for my skin at home.The Pause the Clock Program which includes a series of deep exfoliating facials, collagen induction therapy and the advanced pro-aging facial.The Acne Bootcamp Program.I don't want to sign up for a program or series right now but I'd love to come in for Bespoke Facials when time and budget allow.I'm unsure. Can we talk about it during my Advanced Skin Analysis appointment?
It's for myselfIt's for someone else
I would like to get on a monthly facial routineI would like to do quarterly facials to support my skin during seasonal changesI would like to have facials only to fix my current skin issueI would like to do 1 or 2 facials per year, as a self care treatI don't really want treatments as my main focus is on crafting a skin care regimen at home with Rachael's help
Yes, I am consistently available during the day and during the weekNo, I need evenings or weekends
Tell me a little bit about your skin story: What skin conditions are you looking to manage or correct? How do you feel about your skin today, what products or treatments have you tried in the past, why do you want healthy skin, etc.*
Cancellation/Rescheduling: One of the strong values at White Feather Skin Therapy is mutual respect. This is why I kindly ask that any cancellations be made 24 hours or more before your scheduled appointment. Cancellations made in 24 hours or less may result in restricted access to online booking and/or same-day booking only, based on availability. Please contact me directly in the case of exceptional circumstances and other arrangements can be made. You can reschedule your appointments up to 24 hours before the scheduled appointment. If it's past 24 hours, you will need to contact me directly. I also ask that rescheduling be kept to a bare minimum only if absolutely needed - I am more than happy to provide this convenient option so long as it's not taken advantage of. When booking please be as mindful of selecting appointment times as if rescheduling wasn't an option.*

Got it!
InstagramFacebookGoogle SearchFamily or FriendOther (Example: the lady in the checkout ahead of me had glowing skin so I asked what her secret to beautiful skin was and she replied, "White Feather!")
Is there anything else you would like for me to know or do you have any questions for me?
Thank you for your interest in White Feather Skin Therapy, I look forward to connecting with you.

I respond by email as soon as I can during business hours. Please check your spam folder if you have not heard back within two business days.

Please do not add characters (ie. @, $, ?, *, &) other than letters when filling out your name at the top of this form and check to see that your email address is correct.
Should be Empty:

New Client Application Form