These forms help me provide treatment best suited to your individual skin. Thank you for completing them prior to your treatment. A Vagaro login is required to submit the forms, because I tried it without requiring this, but it doesn’t save properly and associate with your client file. Vagaro is HIPAA-compliant for digital storage of medical information.

Acne Consultation Only
Acne Medical History Intake

Acne Treatments
Acne Medical History Intake
Chemical Peel Informed Consent

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

Dermaplaning Facial
General Medical History Intake
Dermaplaning Informed Consent

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

Forms