• Facial Intake Form

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  • Do you have any health concerns we should be aware of?

  • Are you pregnant

  • Do you have any allergies to,
  • Do you smoke?
  • Are you wearing,
  • Have you had any recent surgeries on your,
  • Have you taken Accutane within the past 12 months?

  • Have you taken Retin-A or Renova in the past 3 months?

  • Have you had a medical peel in the past 6 months?

  • Do you have a pacemaker or any pins in your bones?

  • Are you currently under a physicians care for any skin condition?

  • Have you ever had an adverse reaction to any cosmetic product?

  • Have you ever had an adverse reaction to any skin care treatment?

  • Do you have any allergies?

  • Are you on any medications for your allergies?
  • How would you describe your skin?

  • Please check all skin care concerns

  • Eyes
  • Lips
  • Skin

  • In order for our schedule to run smoothly and accommodate our clients, we ask that you recognize the following policies.

    Appointment Cancellation Policy:

    A late cancellation is defined as any appointment canceled within the 12-hour window prior to the start time of the appointment.

    A no show is defined as any appointment that is not canceled and the client does not attend their appointment.

    A late cancellation will be sent an invoice of half the price of the service to the email address on file, to be paid prior to booking your next appointment.

    A no show will be sent an invoice of the full price of the service to the email on file, to be paid before booking your next appointment.

    If you have an unavoidable emergency please contact us by email as early as possible.

    If you are late to an appointment, the missed time will be deducted from your service time. (Please Note: If you are more than 15 minutes late, your appointment will need to be rescheduled.

    Due to the nature of our services, we do ask that guests and children do not accompany you to your appointments.

    Please be advised we are requiring masks at this time

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