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Assessment
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Skin Type
• • •
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Problem
• • •
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Facial
• • •
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Facial Procedure
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Pre Cleanse
• • •
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Masque
• • •
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Cleanser
• • •
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Massage
• • •
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Peel Prep
• • •
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Spot Treat
• • •
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Add Ons
• • •
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Chemical Peel Used
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Post Treatment
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Notes
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Treatment Provider
• • •
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Supervising Clinician
• • •
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Medical Director Consulted
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Medical Director Consultation Notes
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