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?
no
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?
At Flesh with Erica on 3/2/21, facial and yes very pleased
BIRTHDATE MM/DD/YY
7/15/1987
TELL US ABOUT YOUR CURRENT SKIN CARE REGIMEN. WHAT PRODUCTS DO YOU USE?
Sederma products and burdock root soap
ARE YOU CURRENTLY USING ANY PRODUCTS WITH RETINOLS, AHA/BHA. OR ANY OTHER ACID?
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, rash on leg. Clobetasol propionate and it cleared it up
LIST ANY MEDICATIONS AND SUPPLEMENTS YOU ARE CURRENTLY TAKING AND HAVE TAKEN IN THE LAST SIX MONTHS.
Zyrtec
HAVE YOU EVER TAKEN ACCUTANE? IF SO, LIST ALL DATES AND LENGTH OF TIME.
No
PLEASE LIST ALL ALLERGIES.
Ibuprofen
DO YOU HAVE ANY RASHES, SKIN CONDITIONS, MEDICAL CONDITIONS, OR DISORDERS?
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?
no
WHEN IS THE LAST TIME YOU DETOXED? WHAT TYPE OF DETOX DID YOU DO, AND FOR HOW LONG?
March, 7 day detox. Pills I had to take daily
WHAT ARE YOUR OVERALL SKIN CARE GOALS?
No blemishes, clean and clear