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Appointment  Details

Tonya Rapley

13-Aug-21
PRE - Treatment Notes

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

Had peel didn’t see dramatic change explained the process and how it will take a few sessions. Wants to do another soon. Noticed she hardly ever breaks out but did have a brief episode a few days ago. Started going out more to eat. Gluten free no dairy and eats fish and chicken.

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

Had peel didn’t see dramatic change explained the process and how it will take a few sessions. Wants to do another soon. Noticed she hardly ever breaks out but did have a brief episode a few days ago. Started going out more to eat. Gluten free no dairy and eats fish and chicken.

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

Br soap.. moist from derm..azelac ru serum

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)

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POST - Treatment Notes

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

Finance guru.-money expert CEO of myfabfinance. Super sweet...moved back from Cali, originally from N.C. Married with a son

WHAT PRODUCTS DO YOU RECOMMEND FOR AT HOME USE?

Azelac ru and hidraderm

ADDITIONAL NOTES

Knows Courtney sanders cohost a shoe that Ashton Kutcher is an executive producer on. He is also her mentor. She plans to invest in three properties out of state.. two multi unit and one short term, goin on two mastermind trips.one in purr to Rico and one in Mexico. Sons bday is in November plans on going to Fern Bank to celebrate. Wants to have more children. Husband is a videographer and editor for major companies. Met in NYC. She’s looking forward to meeting the Wall Street trapper

APPOINTMENT SUMMARY

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IS THIS YOUR FIRST TIME RECEIVING A SERVICE AT FLESH?

HOW DID YOU HEAR ABOUT US?

ARE YOU PREGNANT OR BREASTFEEDING?

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

BIRTHDATE MM/DD/YY

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

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

HOW OFTEN DO YOU USE THE PRODUCTS YOU LISTED ABOVE?

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

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?

DO YOU SMOKE?

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

WHAT ARE YOUR OVERALL SKIN CARE GOALS?

Intake Form

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