top of page

Appointment  Details

Mikayla Walton

03-May-21
PRE - Treatment Notes

AFTER REVIEWING THEIR CONSULTATION FORM, WHAT TREATMENT DO YOU RECOMMEND AND WHY?

She is so happy with her results from months of just being consistent with her monthly facials and daily regimen. Started her peel sessions and the big hyperpigmentation spot that she had on her forehead is now gone! She says that was one of her main skin concerns, but realizes when she stops being consistent is when her skin issues arise.

HOW HAS THE CLIENT'S SKIN BEEN SINCE THEIR LAST TREATMENT? WHAT EXACTLY DID THE CLIENT OBSERVE ABOUT THEIR SKIN?

She is so happy with her results from months of just being consistent with her monthly facials and daily regimen. Started her peel sessions and the big hyperpigmentation spot that she had on her forehead is now gone! She says that was one of her main skin concerns, but realizes when she stops being consistent is when her skin issues arise.

WHAT EXACT REGIMEN IS THE CLIENT CURRENTLY FOLLOWING DAILY? LIST ALL PRODUCTS.

BR Soap, Oatmeal rose water, cvit serum & cvit moisturizer.

WHAT CHANGES WOULD YOU RECOMMEND NEED TO BE MADE TO THEIR REGIMEN IF ANY? (ADDITIONAL PRODUCTS, REDUCE USAGE OF A SPECIFIC PRODUCT ETC.)

IS CLIENT INTERESTED IN PURCHASING A NEW PRODUCT REGIMEN TODAY?

WHAT TREATMENT IS CLIENT AGREEING TO GET TODAY?

LEFT PROFILE PHOTO (BEFORE TREATMENT)

RIGHT PROFILE PHOTO (BEFORE TREATMENT)

AERIAL VIEW PHOTO (BEFORE TREATMENT)

CHIN/NECK VIEW (BEFORE TREATMENT)

LEFT PROFILE PHOTO (AFTER TREATMENT)

RIGHT PROFILE PHOTO (AFTER TREATMENT)

AERIAL VIEW PHOTO (AFTER TREATMENT)

CHIN/NECK VIEW (AFTER TREATMENT)

View All Photos
POST - Treatment Notes

HOW WILL WE REMEMBER THIS CLIENT? WHAT DID YOU LEARN ABOUT THEM?

23 years old, has one daughter, in the military reserve and in school to be an Rn, working at a nursing home.

WHAT PRODUCTS DO YOU RECOMMEND FOR AT HOME USE?

ADDITIONAL NOTES

APPOINTMENT SUMMARY

View Entire History

IS THIS YOUR FIRST TIME RECEIVING A SERVICE AT FLESH?

no

HOW DID YOU HEAR ABOUT US?

ARE YOU PREGNANT OR BREASTFEEDING?

no

WHEN AND WHERE WAS YOUR LAST FACIAL SERVICE? WHAT TYPE OF SERVICE DID YOU RECEIVE? WERE YOU SATISFIED WITH YOUR RESULTS?

30-Mar

BIRTHDATE MM/DD/YY

3/3/1998

TELL US ABOUT YOUR CURRENT SKIN CARE REGIMEN. WHAT PRODUCTS DO YOU USE?

I currently use the skin care products Ashley provided me with.

ARE YOU CURRENTLY USING ANY PRODUCTS WITH RETINOLS, AHA/BHA. OR ANY OTHER ACID?

HOW OFTEN DO YOU USE THE PRODUCTS YOU LISTED ABOVE?

Every morning & night- I never forget!

HAVE YOU SEEN A DERMATOLOGIST IN THE LAST SIX MONTHS? IF SO, WHY? WAS ANYTHING PRESCRIBED?

no

LIST ANY MEDICATIONS AND SUPPLEMENTS YOU ARE CURRENTLY TAKING AND HAVE TAKEN IN THE LAST SIX MONTHS.

HAVE YOU EVER TAKEN ACCUTANE? IF SO, LIST ALL DATES AND LENGTH OF TIME.

PLEASE LIST ALL ALLERGIES.

DO YOU HAVE ANY RASHES, SKIN CONDITIONS, MEDICAL CONDITIONS, OR DISORDERS?

WHAT TYPE OF DIET DO YOU FOLLOW?

HOW OFTEN DO YOU MAKE BOWEL MOVEMENTS?

Few times a day

DO YOU SMOKE?

no

WHEN IS THE LAST TIME YOU DETOXED? WHAT TYPE OF DETOX DID YOU DO, AND FOR HOW LONG?

I have not

WHAT ARE YOUR OVERALL SKIN CARE GOALS?

I would like to put an end to breakouts, black heads, and dark spots

Intake Form

Product Purchases

bottom of page