Skincare Touchbase Form
Name *
Your answer
Any health, allergy or prescription updates your technician should be aware of?
Have you used any chemical exfoliants in the last week? (like Retin A, AHA’s or BHA’s)
Any chance of pregnancy?
Have you had any fillers or dermatological procedures in the last month?
What is the reason for your visit today?
What type of aromatherapy do you prefer?
If applicable, would you like a scalp massage today?
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