Facials Form

FACIAL FORM

Have you ever had a facial before?
Yes
No

Have you ever had chemical peels, laser or microdermabrasion?
Yes
No

Have you used Accutane in the last 6 months?
Yes
No

Have you used Benzoyl Peroxide in the last 3 months?
Yes
No

Have you used Retinol in the last 3 months?
Yes
No

HOURS

TUE-SUN – 9AM-7PM

LOCATION

PHONE

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