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7/3/21, 7:00 PM
Ashley

Madelyn Irving

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

Overview of Last Appointment

Date & Time

THIS IS THE CLIENT'S FIRST VISIT! LET'S MAKE IT ONE TO REMEBER! 

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:

03-Jul-21
View Today's Appointment Notes

96.3 Temp

PRE - Treatment Notes
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Input Notes for RETURNING Clients
Input Notes for NEW Clients
POST - Treatment Notes
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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?

Flesh Therapist Ashley. I'm her aunt.

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?

It's been years.

BIRTHDATE MM/DD/YY

10/5/1981

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

Glycolic cleanser, hyaluronic acid serum,& vitamin c moisturizer.

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?

Every morning & night- I never forget!

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

No

LIST ANY MEDICATIONS AND SUPPLEMENTS YOU ARE CURRENTLY TAKING AND HAVE TAKEN IN THE LAST SIX MONTHS.

No

HAVE YOU EVER TAKEN ACCUTANE? IF SO, LIST ALL DATES AND LENGTH OF TIME.

Yes in 2007 for 6 months.

PLEASE LIST ALL ALLERGIES.

Morphin

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

No

WHAT TYPE OF DIET DO YOU FOLLOW?

I eat meat but NO 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?

4 months ago. Vegan detox for 10 days.

WHAT ARE YOUR OVERALL SKIN CARE GOALS?

Clear healthy glowing skin!

Appointment History

Ashley

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