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)
INTAKE FORM RESPONSES
IS THIS YOUR FIRST TIME RECEIVING A SERVICE AT FLESH?
yes
HOW DID YOU HEAR ABOUT US?
Branded Evans
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. Yes
BIRTHDATE MM/DD/YY
8/14/1986
TELL US ABOUT YOUR CURRENT SKIN CARE REGIMEN. WHAT PRODUCTS DO YOU USE?
Neutrogena Naturals Cleanser
Witch Hazel
Hyaluronic Acid Serum
Neutrogena Water Gel Moisturizer
ARE YOU CURRENTLY USING ANY PRODUCTS WITH RETINOLS, AHA/BHA. OR ANY OTHER ACID?
Sometimes Retinols
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. Sulfur Pills
LIST ANY MEDICATIONS AND SUPPLEMENTS YOU ARE CURRENTLY TAKING AND HAVE TAKEN IN THE LAST SIX MONTHS.
N/A
HAVE YOU EVER TAKEN ACCUTANE? IF SO, LIST ALL DATES AND LENGTH OF TIME.
No
PLEASE LIST ALL ALLERGIES.
N/A
DO YOU HAVE ANY RASHES, SKIN CONDITIONS, MEDICAL CONDITIONS, OR DISORDERS?
N/A
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?
Yeeeeaaarrs ago
WHAT ARE YOUR OVERALL SKIN CARE GOALS?
BUTTER SMOOTH SKIN