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New Client Intake form

Have been using any retinol or AHA or BHA products in the last seven days? Retin A, Renova, Differin, Salicylic Acid, Glycolic Acid, Tazorac, Proactive, etc. All of these mentioned can enhance skin sensitivity that can lead to lifting of the skin.
Yes
No
Are you currently using Accutane? If no have you used with-in past year?
Yes
No
I understand waxing is not recommended for anyone with a weakened immune system such as but not limited to diabetes, or are anyone currently undergoing treatments for cancer.
Yes
No
I understand waxing is not Do you have rosacea, eczema, psoriasis, cracked or open skin, severe varicose veins, or any skin sensitivities? Have you used a tanning bed or experienced prolonged sun exposure within the past 24 hours?
Yes
No
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