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7/15/21, 11:00 PM
Ashley

Deron Dotts

This is the client's first visit in over a year! 

Overview of Last Appointment

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)

 Today's Session:

24-Jun-21

98.0 Temp

PRE - Treatment Notes
Upload BEFORE Photos
Input Notes for RETURNING Clients
Input Notes for NEW Clients
POST - Treatment Notes
Upload AFTER Photos
Input POST-Treatment Notes
Log Purchases

INTAKE FORM RESPONSES

IS THIS YOUR FIRST TIME RECEIVING A SERVICE AT FLESH?

yes

HOW DID YOU HEAR ABOUT US?

Google

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?

Laser hair removal and yes I was satisfied

BIRTHDATE MM/DD/YY

6111997

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?

Yes a Night time retinol serum

HOW OFTEN DO YOU USE THE PRODUCTS YOU LISTED ABOVE?

When I can remember- I'm very inconsistent

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.

No

PLEASE LIST ALL ALLERGIES.

None

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

No

WHAT TYPE OF DIET DO YOU FOLLOW?

I eat meat and dairy products

HOW OFTEN DO YOU MAKE BOWEL MOVEMENTS?

Few times a day

DO YOU SMOKE?

yes

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

Last month, juice detox

WHAT ARE YOUR OVERALL SKIN CARE GOALS?

Even skin again

Appointment History

Ashley
Ashley

VIEW ALL APPTS

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