top of page
11/20/21, 6:00 PM
Ashley

Miranda Mondesir

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:

20-Nov-21
View Today's Appointment Notes

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?

Instagram

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 received a facial

BIRTHDATE MM/DD/YY

9/19/1997

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

Morning: Innisfree Balancing Toner w/ Green Tea, Alpha Arbutin, Belief True Cream Aqua Bomb, ISDIN SPF 50+
Night: The Ordinary Retinol 0.5% in Squalene, The Ordinary Caffeine Solution 5%+ECCG
2X a week: The Ordinary AHA 30%+BHA 2% Peeling Solution
Cleanser: Youth To The People Superfood Antioxidant Cleanser

ARE YOU CURRENTLY USING ANY PRODUCTS WITH RETINOLS, AHA/BHA. OR ANY OTHER ACID?

Yes

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.

Multivitamin Gummies, Slow Release Iron 45 MG

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

No

PLEASE LIST ALL ALLERGIES.

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

Anemia

WHAT TYPE OF DIET DO YOU FOLLOW?

I eat meat and dairy products

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 did a detox

WHAT ARE YOUR OVERALL SKIN CARE GOALS?

Even bright skin with less breakouts and blackheads

Appointment History

Facial
Ashley

VIEW ALL APPTS

bottom of page