Appointment Details
Samantha Taylor
17-Nov-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?
ADDITIONAL NOTES
APPOINTMENT SUMMARY
IS THIS YOUR FIRST TIME RECEIVING A SERVICE AT FLESH?
yes
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?
Never had a facial service done, this will be my first time receiving this service.
BIRTHDATE MM/DD/YY
9/30/1992
TELL US ABOUT YOUR CURRENT SKIN CARE REGIMEN. WHAT PRODUCTS DO YOU USE?
My main skin care regimen has been cetaphil soap, clindamycin-benzoyl peroxide and differin. And homemade face remedies. Now I use use Dr. Dicksons Witch Hazel and warm water to cleanse my face.
ARE YOU CURRENTLY USING ANY PRODUCTS WITH RETINOLS, AHA/BHA. OR ANY OTHER ACID?
Retinol but I stopped about a month.
HOW OFTEN DO YOU USE THE PRODUCTS YOU LISTED ABOVE?
Every Morning and some nights
HAVE YOU SEEN A DERMATOLOGIST IN THE LAST SIX MONTHS? IF SO, WHY? WAS ANYTHING PRESCRIBED?
Yes several visits. For acne, isotretinoin.
LIST ANY MEDICATIONS AND SUPPLEMENTS YOU ARE CURRENTLY TAKING AND HAVE TAKEN IN THE LAST SIX MONTHS.
None
HAVE YOU EVER TAKEN ACCUTANE? IF SO, LIST ALL DATES AND LENGTH OF TIME.
No
PLEASE LIST ALL ALLERGIES.
None that I'm aware of.
DO YOU HAVE ANY RASHES, SKIN CONDITIONS, MEDICAL CONDITIONS, OR DISORDERS?
Sensitive Skin, Oily skin
WHAT TYPE OF DIET DO YOU FOLLOW?
Plant Based- I'm primarily Vegan but occasionally consume small amounts of meat/seafood and dairy
HOW OFTEN DO YOU MAKE BOWEL MOVEMENTS?
At least once a day
DO YOU SMOKE?
no
WHEN IS THE LAST TIME YOU DETOXED? WHAT TYPE OF DETOX DID YOU DO, AND FOR HOW LONG?
Never detox
WHAT ARE YOUR OVERALL SKIN CARE GOALS?
Healthier clearer skin, with No acne or acne marks, no dark spots and no future breakouts.