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Subjective
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Objective
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Assessment
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Diagnosis
• • •
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Plan
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Revision Skin Care
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Cleanser
• • •
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Exfoliating/ Mask
• • •
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Antioxidant
• • •
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Correction-Retinol
• • •
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Moisturizer
• • •
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Fine/Line Wrinkles
• • •
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Correct-Eye & Lip
• • •
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Body
• • •
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Protect-Sunscreen
• • •
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SkinCeuticals Skin Care
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Cleanser
• • •
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Toner
• • •
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Antioxidants
• • •
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Correction-Acne
• • •
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Correction-Aging
• • •
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Correction-Discoloration
• • •
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Correction-Retinol
• • •
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Correction-Sensitive Skin
• • •
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Correction-Eye and Lip
• • •
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Moisturize
• • •
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Body
• • •
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Protect-Chemical
• • •
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Protect-Mineral
• • •
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Systems
• • •
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Facial
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Facial
• • •
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Microneedling
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Microneedling
• • •
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SkinCeuticals Protocol
• • •
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Chemical Peel
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Acne Prone
• • •
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Sensitive Skin
• • •
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Photodamage/Discoloration
• • •
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Aging
• • •
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Brightening Layered
• • •
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Clear
• • •
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Hydrate
• • •
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Lumenis Splendor
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Lumenis Stellar
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IPL
• • •
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Prescription
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Olympia Rx
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Plan Notes
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Follow-Up
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Treatment Provider
• • •
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Supervising Clinician
• • •
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