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Med Spa - Skin Care
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Medical Spa - Skin Care
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Current status of skin
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Conditions you have or have had in the past
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Skin issues of concern for this visit
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Skin Conditions additional information
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Allergic Reactions - all clients must review
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Allergic reactions to dermatologics describe:
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Your Current Skin Care
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Have you had a facial before?
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Most recent facial treatment
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Have you had a body spa treatment before?
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Most recent Body Spa treatment and type
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Have you ever had chemical peels, laser, microblade, or microdermabrasion?
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Skin resurfacing type
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Current skin products
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Additional information - current skin products.
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Acne Medication?
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Brand of Acne Medication
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Have you recently used any self-tanning lotions, creams, or treatments?
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Hair removal methods
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Injections in the last 2 weeks
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Additional information - injections:
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Sun Exposure/Tanning
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Which describes you when exposed to sun for 30 minutes with no SPF
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What SPF do you use on your face? How often/When?
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What SPF do you use on your body? How often/When?
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In the last 2 weeks, have you had and tanning bed or sun exposure?
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Tanning in the last 2 weeks; did you burn?
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Female Clients Only
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Are you taking oral contraceptives?
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Any recent changes to or from your contraceptive treatment?
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Are you pregnant or trying to become pregnant?
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Lactating?
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Any menopause problems?
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Are you undergoing any hormone replacement therapy?
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Detail on female client only 'yes' answers
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Male Aesthetics Clients Only
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What is your current shaving system?
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Do you experience irritation from shaving?
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Do you have problems with ingrown hairs?
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Men reasons for seeking hormone treatment
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