New Client Facial Waitlist + Appointment Request Form

New Client Facial Waitlist + Appointment Request Form

Thank you for choosing Angelina Esthetics! If you are a new client please join my waitlist to start your skin journey! Once an appointment becomes available you will be notified to schedule your first initial consultation appointment. If you would like to be on a priority list for a special accommodation of a treatment please fill out that section on the waitlist form. A special accommodation request is an option BUT not guaranteed appointment within timeframe requested. All submissions will be notified by email once there is an opening available.
Name*

First NameLast Name

Phone Number*
Please enter a valid phone number.

Email*
example@example.com

Are you looking to make facial treatments a regular/monthly routine?*

Yes, I am ready to commit to home care and a treatment plan.No, I am only interest in a supported home care routine that is results driven.

Would you like to be put on a priority list for a special accommodation for a facial treatment. If so, please share date you'll like to get in by, current skin concerns and overall reason why this special accommodation is important to you. Pictures of current skin concerns + can be shared on the next section but not required.
If you would like to add photos of your skin please include natural lighting directly from your camera NO filters. Capture full right and left view + center face view. This is a huge help for my reference especially for your first treatment.*

Cancelof
Would you like this appointment request to be considered as a special request? if request is able to be accommodated there is a $25 fee + choice of service fee applied.*

Yes, I want to be added to priority list and am willing to pay for $25 fee in additional of service fee booked.No, I am willing to wait until there is an opening. (please note this may take longer for an appointment.)
Thank you for completing this form. Once your appointment request is accepted you will be contacted by Angelina Esthetics by your contact information provided. I look forward to achieving your skin care goals with you!

If you have any additional questions or concerns please reach out to angelinaoesthetics@gmail.com. Please allow 3-5 business days for a response.
Please check all after carefully reading:*

Angelina Esthetics requires a consultation & home care prior to receiving a treatment. Being a results driven Licensed Esthetician this ensures we are able to achieve your skin care goals effectively.I will be giving a customized facial treatment plan and home care to target my skin care concerns and goals. This comes with a team effort of commitment to a plan to be able to accomplish the overall goal.I understand, All appointments are accepted in a waitlist order, There's currently not an estimate date to when any appointment will be scheduled.If you would like to add photos of your skin please include natural lighting directly from your camera NO filters. Capture right and left view + face view. Please note submitting photos is only to provide insight to Angelina Esthetics if a facial treatment is accommodated from the priority waitlist. This gives a insight and support of what information was provided on the previous sections.
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