top of page

Appointment  Details

Sheila Van Ommeren

PRE - Treatment Notes

AFTER REVIEWING THEIR CONSULTATION FORM, WHAT TREATMENT DO YOU RECOMMEND AND WHY?

Purifying facial, because client's pores are very congested and she has pustules in the hormonal area

HOW HAS THE CLIENT'S SKIN BEEN SINCE THEIR LAST TREATMENT? WHAT EXACTLY DID THE CLIENT OBSERVE ABOUT THEIR SKIN?

WHAT EXACT REGIMEN IS THE CLIENT CURRENTLY FOLLOWING DAILY? LIST ALL PRODUCTS.

WHAT CHANGES WOULD YOU RECOMMEND NEED TO BE MADE TO THEIR REGIMEN IF ANY? (ADDITIONAL PRODUCTS, REDUCE USAGE OF A SPECIFIC PRODUCT ETC.)

IS CLIENT INTERESTED IN PURCHASING A NEW PRODUCT REGIMEN TODAY?

Possibly

WHAT TREATMENT IS CLIENT AGREEING TO GET TODAY?

LEFT PROFILE PHOTO (BEFORE TREATMENT)

face_edited.png

RIGHT PROFILE PHOTO (BEFORE TREATMENT)

AERIAL VIEW PHOTO (BEFORE TREATMENT)

CHIN/NECK VIEW (BEFORE TREATMENT)

face_edited.png

LEFT PROFILE PHOTO (AFTER TREATMENT)

face_edited.png

RIGHT PROFILE PHOTO (AFTER TREATMENT)

AERIAL VIEW PHOTO (AFTER TREATMENT)

CHIN/NECK VIEW (AFTER TREATMENT)

POST - Treatment Notes

HOW WILL WE REMEMBER THIS CLIENT? WHAT DID YOU LEARN ABOUT THEM?

She lives in Warner Robbins, GA has 5year old son. She models and also has a food prep and juicing business. She's very dedicated to health and fitness

WHAT PRODUCTS DO YOU RECOMMEND FOR AT HOME USE?

Tea Tree Soap, Astringent, Salises and Better Together Kit

ADDITIONAL NOTES

After talking in detail about dairy we narrowed it down to it being her whey protein that's most likely causing the breakout in her hormonal area. She is a very clean eater and I asked if she was a protein shake drinker and ask did she use whey. My recommendation is for her to switch to a plant base protein (naked mass, gaspari nutrition, or garden of life.

APPOINTMENT SUMMARY

Product Purchases

Date
List of products
Submit
View Intake Form

IS THIS YOUR FIRST TIME RECEIVING A SERVICE AT FLESH?

-

HOW DID YOU HEAR ABOUT US?

-

ARE YOU PREGNANT OR BREASTFEEDING?

-

WHEN AND WHERE WAS YOUR LAST FACIAL SERVICE? WHAT TYPE OF SERVICE DID YOU RECEIVE? WERE YOU SATISFIED WITH YOUR RESULTS?

-

BIRTHDATE MM/DD/YY

-

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?

-

HOW OFTEN DO YOU USE THE PRODUCTS YOU LISTED ABOVE?

-

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.

-

PLEASE LIST ALL ALLERGIES.

-

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

-

WHAT TYPE OF DIET DO YOU FOLLOW?

-

HOW OFTEN DO YOU MAKE BOWEL MOVEMENTS?

-

DO YOU SMOKE?

-

-

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

WHAT ARE YOUR OVERALL SKIN CARE GOALS?

-

Intake Form
© 2024 Flesh Skin Care Studio. All Rights Reserved 
bottom of page