Appointment Details
Amber Taylor
PRE - Treatment Notes
AFTER REVIEWING THEIR CONSULTATION FORM, WHAT TREATMENT DO YOU RECOMMEND AND WHY?
HOW HAS THE CLIENT'S SKIN BEEN SINCE THEIR LAST TREATMENT? WHAT EXACTLY DID THE CLIENT OBSERVE ABOUT THEIR SKIN?
Less breakouts on back
WHAT EXACT REGIMEN IS THE CLIENT CURRENTLY FOLLOWING DAILY? LIST ALL PRODUCTS.
ligtening serum for back and salises body cleanser
WHAT CHANGES WOULD YOU RECOMMEND NEED TO BE MADE TO THEIR REGIMEN IF ANY? (ADDITIONAL PRODUCTS, REDUCE USAGE OF A SPECIFIC PRODUCT ETC.)
exfoliate back daily
IS CLIENT INTERESTED IN PURCHASING A NEW PRODUCT REGIMEN TODAY?
WHAT TREATMENT IS CLIENT AGREEING TO GET TODAY?
back peel
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)
POST - Treatment Notes
HOW WILL WE REMEMBER THIS CLIENT? WHAT DID YOU LEARN ABOUT THEM?
Really wants back to clear so that she can show off her new body "properly"
WHAT PRODUCTS DO YOU RECOMMEND FOR AT HOME USE?
exfoliate with brush as she already has salises cleanser
ADDITIONAL NOTES
has large black head on back that needs to be lanced. Ran out of ferlac mist and retises. So added extra layer of ferulac and ferulac mist from mother's love kit. Charged $300
APPOINTMENT SUMMARY
Product Purchases
Date
List of products
IS THIS YOUR FIRST TIME RECEIVING A SERVICE AT FLESH?
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HOW DID YOU HEAR ABOUT US?
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ARE YOU PREGNANT OR BREASTFEEDING?
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WHEN AND WHERE WAS YOUR LAST FACIAL SERVICE? WHAT TYPE OF SERVICE DID YOU RECEIVE? WERE YOU SATISFIED WITH YOUR RESULTS?
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BIRTHDATE MM/DD/YY
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TELL US ABOUT YOUR CURRENT SKIN CARE REGIMEN. WHAT PRODUCTS DO YOU USE?
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ARE YOU CURRENTLY USING ANY PRODUCTS WITH RETINOLS, AHA/BHA. OR ANY OTHER ACID?
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HOW OFTEN DO YOU USE THE PRODUCTS YOU LISTED ABOVE?
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HAVE YOU SEEN A DERMATOLOGIST IN THE LAST SIX MONTHS? IF SO, WHY? WAS ANYTHING PRESCRIBED?
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LIST ANY MEDICATIONS AND SUPPLEMENTS YOU ARE CURRENTLY TAKING AND HAVE TAKEN IN THE LAST SIX MONTHS.
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HAVE YOU EVER TAKEN ACCUTANE? IF SO, LIST ALL DATES AND LENGTH OF TIME.
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PLEASE LIST ALL ALLERGIES.
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DO YOU HAVE ANY RASHES, SKIN CONDITIONS, MEDICAL CONDITIONS, OR DISORDERS?
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WHAT TYPE OF DIET DO YOU FOLLOW?
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HOW OFTEN DO YOU MAKE BOWEL MOVEMENTS?
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DO YOU SMOKE?
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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?
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