Body Treatment Consult Inquiry

New Patient Information
Full Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
How did you find us?
Who can we thank for referring you?

Digital Storage Authorization
By submitting this form, I voluntarily authorize Skin! Medical Aesthetics and its affiliated providers, employees, and authorized representatives to collect, store, and process the information I provide, which may include personally identifiable information and health-related information. I understand that my responses may be transmitted electronically and stored within secure internal systems, including encrypted cloud-based platforms such as Google Drive or similar technologies used for administrative and care coordination purposes.I acknowledge that authorized personnel, including patient coordinators and clinical staff, may access this information solely for legitimate business and healthcare operations, including appointment scheduling, consultation preparation, follow-up communication, treatment planning, and administrative tracking.I understand that while Skin! Medical Aesthetics implements reasonable administrative, technical, and physical safeguards consistent with applicable privacy and HIPAA standards to protect the confidentiality of my information, electronic transmission and cloud-based storage systems may carry inherent risks and absolute security cannot be guaranteed.By submitting this form, I expressly consent to the collection, storage, internal sharing, and use of my information for the purposes described above and authorize Skin! Medical Aesthetics to contact me via phone, text message, or email regarding scheduling, consultations, and services.

Why Choose Skin! Medical Aesthetics
Our Mission:

At Skin!, we believe aesthetic care should feel thoughtful—not overwhelming. Our job is to cut through the noise, explain the science, and help you make informed, confident decisions about what’s right for you. No generic treatment menus. No chasing trends. Just a personalized plan built around your skin, anatomy, goals, and comfort level.

Skin health always comes first. We focus on improving tone, texture, strength, and overall quality while preserving the features that make you look like you. If injectables are part of your plan, our approach is seamless, balanced, and intentionally subtle. The goal isn’t to change your face—it’s to help you look refreshed, restored, and unmistakably yourself.

Your Choice
Once you have your plan, you choose what fits your goals, comfort, and budget. Nothing is ever forced, we’re here to guide you and empower you with the knowledge to make the best decisions for you. The goal? For people to look at you after treatment and wonder if you’re simply sleeping better or using a new skincare routine.

Virtual Photo Assessment

This photo assessment allows us to carefully evaluate your skin’s quality, texture, tone, and overall facial anatomy so we can create a treatment plan that’s precise and personalized. Please follow the guidelines below and submit your photos. Submit photos of all areas you want to be assessed.

All photos will be saved in our HIPAA compliant photo software. Photos are used for consultation purposes only. They will not be used or shared for any purpose other than this consultation.
Photo submission guidelines:
1. Take photos in good lighting. Bright bathroom light is best.
2. The photos below are face photo guidelines, but use same angles for body photos.
Please upload your photos here.

Cancelof

WHAT HAPPENS NEXT
Our clinical team will review your history, goals, and photos within 7–10 business days. You’ll receive your personalized assessment by email, followed by scheduling instructions if you’d like to proceed.

If you'd like to schedule an in-person or video consultation after receiving your pre-consultation evaluation, Stephanie our patient coordinator can help you get that scheduled. Please text 720-227-1277 or email appointments@skindenver.co with any questions!

XOXO ❤️ Skin!
Should be Empty:

New Patient Information

Digital Storage Authorization

Why Choose Skin! Medical Aesthetics

Our Mission:

Virtual Pre-Consultation

Virtual Photo Assessment

This photo assessment allows us to carefully evaluate your skin’s quality, texture, tone, and overall facial anatomy so we can create a treatment plan that’s precise and personalized. Please follow the guidelines below and submit your photos. Submit photos of all areas you want to be assessed.

Photo submission guidelines:

Medical and Aesthetic History

WHAT HAPPENS NEXT

Our clinical team will review your history, goals, and photos within 7–10 business days. You’ll receive your personalized assessment by email, followed by scheduling instructions if you’d like to proceed.