Appointment Details
Heather Ellis
25-Aug-21
PRE - Treatment Notes
AFTER REVIEWING THEIR CONSULTATION FORM, WHAT TREATMENT DO YOU RECOMMEND AND WHY?
HOW HAS THE CLIENT'S SKIN BEEN SINCE THEIR LAST TREATMENT? WHAT EXACTLY DID THE CLIENT OBSERVE ABOUT THEIR SKIN?
WHAT EXACT REGIMEN IS THE CLIENT CURRENTLY FOLLOWING DAILY? LIST ALL PRODUCTS.
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)
POST - Treatment Notes
HOW WILL WE REMEMBER THIS CLIENT? WHAT DID YOU LEARN ABOUT THEM?
WHAT PRODUCTS DO YOU RECOMMEND FOR AT HOME USE?
Glow kit, burdock root soap, astringent, and mandalec scrub
ADDITIONAL NOTES
APPOINTMENT SUMMARY
IS THIS YOUR FIRST TIME RECEIVING A SERVICE AT FLESH?
yes
HOW DID YOU HEAR ABOUT US?
Referral: Kierra Greene
ARE YOU PREGNANT OR BREASTFEEDING?
yes
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
8/29/1991
TELL US ABOUT YOUR CURRENT SKIN CARE REGIMEN. WHAT PRODUCTS DO YOU USE?
I wash and exfoliate 2 times daily. I use a combination of Cerave products daily and Grandpas Soap 3 times a week with an exfoliating glove. I moisturize with Vitamin C oil in the morning and vitamin E in the evening.
ARE YOU CURRENTLY USING ANY PRODUCTS WITH RETINOLS, AHA/BHA. OR ANY OTHER ACID?
No
HOW OFTEN DO YOU USE THE PRODUCTS YOU LISTED ABOVE?
Never
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?
Vegetarian (NO meat but eat dairy)
HOW OFTEN DO YOU MAKE BOWEL MOVEMENTS?
Few times a day, At least once a day
DO YOU SMOKE?
yes
WHEN IS THE LAST TIME YOU DETOXED? WHAT TYPE OF DETOX DID YOU DO, AND FOR HOW LONG?
3 months ago for one week
WHAT ARE YOUR OVERALL SKIN CARE GOALS?
Less hair, removing micro acne from nose & forehead area, brighter skin