• Hello and Welcome to Yelis Creates Beauty

    I'm looking forward to meeting you and helping you achieve your skin goals!

  • Please fill out this form 24 hours prior to your appointment and bring a photo of your current skincare routine with you to your treatment! Please make sure to come to your appointment make up free| No Jewelry| Necklaces| Earrings if possible

  • Date of birth
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  • Is this your first facial?
  • Please note that a minimum of 48 hours’ notice is required to cancel or reschedule any appointment. If you fail to cancel or reschedule within this timeframe, 50% of the scheduled service total will be charged to the card on file.This policy allows me to offer availability to other clients and respects the time and preparation involved in each service. Thank you for your understanding and support.
  • Which form of payment will balance be collected the day of your service?

  • Tell me about your skin!

  • "If you could choose (2) luxurious add-on to be included in your facial experience, which would you most love to receive?"
  • "Which (2) advanced skin treatment would you love to experience during your next facial?"
  • What are your skin concerns? (Check all the apply)
  • Do you use Retin-A, Renova, Adapalene Hydroxyl Acid or Retinol/vitamin A derivative products?*
  • Have you had chemical peels, laser or microdermabrasion done within the past 30 days?*
  • Have you had a brow or facial waxing within the past two weeks?*

  • Medical History

  • Are you currently under the care of a Doctor?
  • Are you using any of the following?
  • Are you currently on birth control?
  • Are you pregnant or trying to become pregnant?
  • Are you claustrophobic?
  • Do you smoke?
  • Do you currently have or have you ever had any of the following?
  • Do you currently have any cold sores/ blisters? *This will result in your treatment needing to be rescheduled.
  • I use Instagram (@yeliscreatesbeauty_) for both promotional and educational purposes. Do you consent photos/ videos during your service?*
  • Some of my facial services include crystal healing/ sage or palo santo/ along with healing instruments. Are those ok to include if your service includes it?
  • Are you ok with me using a steamer through out your facial service?
  • Today's Date*
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  • By signing below, I understand, have read and completed this questionnaire truthfully. I agree that this constitutes full disclosure, and that it supersedes any previ- ous verbal or written disclosures. I understand that withholding information or providing misinformation may result in contraindications and/or irritation to the skin from treatments received. The treatments I receive here are voluntary and I release this institution and/or skin care profes- sional from liability and assume full responsibility thereof.

  • Should be Empty: