• Skin Consultation Form

    Estimated time of completion: 3-5 minutes

  • Please take your time answering each question so we can create a treatment tailored just for you ᥫ᭡.

  • Date*
     - -
  • Format: (000) 000-0000.
  • Are your pregnant ?*
  • Do you think you have:*
  • Do you have any current Skin Medical Conditions ?*
  • Do You Have (select all that apply):*
  • Have you’ve had any of the following treatments in the last 6 months ?*
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  • Are you taking any photosensitizing medications ?*
  • Are you currently on any medications that may increase sensitivity to light?*
  • Have you experienced any of the following reactions to facial treatments or products*
  • Are you taking any medications (prescription or over-the-counter) that might affect your skin? (Check all that apply):*
  • Sunscreen Use: Do you wear sunscreen daily?*
  • Do you smoke marijuana or cigarettes?*
  • Do you consume a lot of alcohol?*
  • Are you okay with being recorded? (Your Privacy Is our biggest concern)*
  • Are you okay with being posted ? (We post before and after’s on our social media accounts ; Google , TikTok and Instagram)*

  • Progress photos will be taken and kept in your confidential client file to track your results.

  • Please note: Corrective treatments such as Chemical Peels and Microneedling are an investment, with individual sessions starting at $250 and corrective packages ranging from $675–$1,800+. Treatment recommendations are made after your first appointment. Payment plans for all packages are available.

    All skin packages payments & payment plans are processed online.

  • Reminder:

     

    • First-time clients are not eligible for Chemical Peels or Microneedling.

  • Pre-Appointment Details

    *Please take your time to read*

    Before Your Appointment

    ➤Arrive with a clean face (no makeup, skincare products, or sunscreen).


    ➤Stay hydrated and eat a light meal beforehand.


    ➤Wear comfortable clothing.


    ➤Please arrive on time to maximize your treatment.

    ➤No chemical peels, microneedling, or other advanced treatments from another provider within the last 30 days.

    ➤Avoid alcohol and blood-thinning supplements (unless prescribed by your physician) for 24–48 hours before advanced treatments.

     

    7 Days Before

    ➤ Discontinue retinol, Retin-A, tretinoin, exfoliants, scrubs, acids, and other active ingredients.


    ➤Discontinue excessive sun exposure, tanning, or sunburn.


    ➤Complete any laser hair removal at least 7 days prior.


    72 Hours Before

    ➤Complete any lip, chin, or eyebrow waxing.


    ➤Men who shave, should shave at least 72 hours before their appointment.


    Please Let Me Know Before Your Appointment If You:

    ➤Have any allergies, are taking medications (including antibiotics), or have had recent skin treatments.


    ➤Have cold sores, open wounds, skin infections, or recent illnesses.


    ➤Have a history of keloid scarring, hyperpigmentation, or very sensitive skin.

     


    Appointment Reminders:

    ➤A confirmation text will be sent 72 hours before your appointment.

    ➤Please come inside at your scheduled appointment time. The door will be unlocked 5 minutes prior to your appointment.

    ➤Restrooms and complimentary refreshments are available for your convenience.

  • I acknowledge I have fully READ and understand your Pre-Appointment Details*

  • Client Wellness Verification

    By acknowledging below, I confirm that I am not currently experiencing any illness, fever, infection, or contagious condition prior to treatment.

  • Consent & Acknowledgment:

    • I understand that the information provided is truthful and confidential and will be used solely to customize my facial treatment.

    • I acknowledge that individual results may vary and that all recommendations are based on the details provided.

    • I agree to immediately inform my esthetician of any discomfort or adverse reactions during the treatment.

    • I will notify my esthetician of any changes to my skin condition or overall health.

  • Cancellation & Rescheduling Policy Reminder:

     

    If you are unable to attend your scheduled appointment and wish to be seen at a later date, you will need to book a new appointment based on current availability, just as you did when making your original booking. A new deposit will be required, as deposits are non-refundable, non-transferable, and apply only to the specific appointment date and time reserved.

     

    • One complimentary reschedule is permitted up to 7 days before your appointment.
    • Requests made within 7 days of your appointment (excluding emergencies) require a new appointment and new deposit.
    • Appointment availability may not be guaranteed within the same month.
    • If a first-time client cancels or misses their initial appointment, books a second appointment, and then cancels or misses that appointment as well, both deposits will be forfeited, and future booking privileges may be declined.
    • Appointments cancelled Same Day or No showed will be charged 100% of the remaining balance of the service.

  • After submitting this form you may proceed to Step Two for booking your appointment ᥫ᭡.

    We hope to see you soon !
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