Esthetician Intake Form Pdf. Waxing consent please initial the following: ☐breakouts/acne ☐blackheads/whiteheads ☐uneven skin tone ☐sun damage ☐excessive oil/shine ☐wrinkles/fine lines ☐dull/dry skin ☐rosacea ☐broken capillaries ☐redness/ruddiness ☐dehydrated ☐sun, liver,.
FREE 7+ Medical Intake Forms in PDF
Web what type of skin do you have? _____ date:_____ associated skin care professionals member client consultation—continued. ☐ normal ☐ oily ☐ dry ☐ combination what areas of concern do you have regarding your skin? I do not use a prescription acne mediation (such as accutane or have discontinued its use for at least 12 months. Web who can use this printable esthetician client intake form (pdf)? (please check all that apply.) It also asks if the client has any medical conditions that might be affected during or after the cosmetic or skin treatment. Web client consultation—esthetician your health 1) have you been under the care of a physician, dermatologist or other medical professional within the past year? Web esthetician client intake form zip code no first name address email full name full name last name client information date of birth city preferred phone number gender. Thank you for your interest in being a client of.
I have not used a peel, exfoliated, or tanned in the last 72 hours. Chemical peel botox microderm yes no adapalene differin. The specialties of the professionals using this template could include: I do not use a prescription acne mediation (such as accutane or have discontinued its use for at least 12 months. It also asks if the client has any medical conditions that might be affected during or after the cosmetic or skin treatment. Web what type of skin do you have? (please check all that apply.) This form is used to collect information about new clients and used for internal purposes only. No yes, please explain:_____ 2) have you had any of the following conditions in the past or present? I have not used a peel, exfoliated, or tanned in the last 72 hours. Waxing consent please initial the following:
