These forms help me provide treatment best suited to your individual skin. New clients will be sent an email with the required forms, which only need to be completed once for each form type. Thank you for completing them prior to your treatment. We use Google Forms to collect your information, using HIPAA-compliant methods.

All Clients
Terms and Conditions

Acne Consultation Only
Medical History Intake - Acne

Acne Treatments
Medical History Intake - Acne
Informed Consent - Chemical Peel

Custom Facial and Rezenerate Nano Facial
Medical History Intake - General
Informed Consent - Facial Treatment

Dermaplaning Facial
Medical History Intake - General
Informed Consent - Dermaplaning

Waxing
Medical History Intake - General
Informed Consent - Waxing

Parental Consent for minors must be filled out by the parent or guardian in person at the first appointment.

Forms