New Client Appointment Request

New Client Appointment Request

How it works: For those wanting to become a new client or those who we haven't seen in 6+ months. Complete form and give us 24-48 hours to reply via email with our availability. Once you pick your desired time we will send you an invoice for your first appointment. All new/ returning clients must pay for their first appointment in full to reserve the time. This is only required for your first appointment. Please note if your invoice is not paid within 24 hours, your appointment request will be canceled, nothing will be booked or secured.
Full Name*

First NameLast Name
Email Address*
example@example.com
Date of Birth*

MonthDayYear
Date
Phone Number*
Please enter a valid phone number.
Gender*

FemaleMale
How did you hear about Skin By Eilis? Google, Instagram, Friend, Family? (please state the name of the person who referred you)*
All clients must begin with a consultation to discuss homecare and treatment plan. Both are required to work with Skin By Eilis. Consultations are paid by invoice before your consultation is booked. Are you looking for an appointment for Acne Bootcamp or Age Management & Corrections? For Virtual Appointments please see Virtual Skin tab on our menu.*

Acne BootcampAge Management & Corrections
Consultation and homecare are required for all clients wanting to work with Skin By Eilis. If you're a new client wanting to schedule treatment the same day as your consultation alongside your homecare, please tell us which treatment you're interested in. Price of appointment will be paid by invoice before your first appointment is booked. Homecare will be purchased at your first appointment.**

First Time Client Consult + Starter Facial OR Acne Bootcamp ($185 + homecare)First Time Client Consult + Hydrafacial ($225 + homecare)First Time Client Consult + Lifting + Firming Treatment ($215 + homecare)
Which treatments at Skin By Eilis are you interested in learning more about (refer to main website for details and pricing on treatments). Keep in mind that all treatment plans require prep with a tailored home care routine. We will not perform any treatments if it is unethical to do so.*

Acne BootcampLifting + Firming Enzyme TreatmentChemical Peels (Medical Grade + Custom)HydrafacialHydrafacial KeraviveLiquid MicroneedlingNano-needlingDermaplaning (as an add on)
Homecare is required for all clients wanting to seek treatments with Freckled Skin Studio. Are you looking to make treatments a monthly / regular thing in order to meet your goals?*

YES, I am ready for a new home care regimen and to come in monthly or frequently for treatmentsNo, I just want a new homecare routine
Tell us about your skin / what you're looking to improve or achieve by coming to Skin By Eilis. Include any important information of skin history / if you've been struggling for a while. The more information the BETTER, so we can come up with a curated plan for you.*
How much are you expecting to invest for your home care routine? Keep in mind that a targeted and tailored regimen begins around $175. We carry 70+ products to ensure we can work with almost any budget. Our goal is to make sure your results and home care are easily obtainable for you.*

$175-$250$250-$350$350+I am willing to invest whatever it may be to get started on a quality and results driven treatment plan + regimen.
Skin By Eilis Hours of Opperation

Monday: Closed

Tuesday : 9:30am - 5 pm

Wednesday: Closed

Thursday + Friday : 10 am - 6 pm

Saturday: 10 am - 5 pm

Sunday: Closed
Preferred Date/Time/Day of week that you're hoping for, or if you don't have a preference. Please list more than one.*
If we do not have your desired time available, would you want to start as a virtual client? Here we will get you set up with a targeted and customized homecare routine to start working towards your goals while we wait for your desired opening.

YesNo, I would like to be added to the waitlist in order to be seen in person.
Please refrain from submitting unless you are ready to book and pay invoice. You will be contacted by Skin By Eilis to schedule if your appointment request has been accepted. Once accepted an invoice will be sent totaling the amount of the appointment you selected. All first-time clients are required to pay for their first appointment in full via invoice. Please note that nothing is booked, secured or reserved until this invoice is completed.Please reach out at www.skinbyeilis.com/pages/contact if you have any additional questions or concerns.
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