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Green Bottle Display

1st time facials are require a Facial Consultation. This will automatically be added to your facial appointment.  

Facial Intake Form

Please provide detailed information about your skin care needs and concerns.

Skin Assessment

What is your skin type?
Normal
Dry
Oily
Combination
Sensitive
What are your skin concerns?

Medical Information

Please include as much detail as possible to help us provide the safest and most effective treatment for your skin.

Current Skincare Routine

Please list all products used in your morning routine, including brand names and how you use them.

Please list all products used in your evening routine, including brand names and how you use them.

Do you regularly use sunscreen?
Yes, daily
Sometimes
Rarely
Never

Additional Information

Include any known allergies to skincare ingredients, foods, environmental factors, or medications that might affect your treatment.

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