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Appointment  Details

Mercedes Chelsey

08-Sep-21
PRE - Treatment Notes

AFTER REVIEWING THEIR CONSULTATION FORM, WHAT TREATMENT DO YOU RECOMMEND AND WHY?

HOW HAS THE CLIENT'S SKIN BEEN SINCE THEIR LAST TREATMENT? WHAT EXACTLY DID THE CLIENT OBSERVE ABOUT THEIR SKIN?

WHAT EXACT REGIMEN IS THE CLIENT CURRENTLY FOLLOWING DAILY? LIST ALL PRODUCTS.

WHAT CHANGES WOULD YOU RECOMMEND NEED TO BE MADE TO THEIR REGIMEN IF ANY? (ADDITIONAL PRODUCTS, REDUCE USAGE OF A SPECIFIC PRODUCT ETC.)

IS CLIENT INTERESTED IN PURCHASING A NEW PRODUCT REGIMEN TODAY?

WHAT TREATMENT IS CLIENT AGREEING TO GET TODAY?

LEFT PROFILE PHOTO (BEFORE TREATMENT)

RIGHT PROFILE PHOTO (BEFORE TREATMENT)

AERIAL VIEW PHOTO (BEFORE TREATMENT)

CHIN/NECK VIEW (BEFORE TREATMENT)

LEFT PROFILE PHOTO (AFTER TREATMENT)

RIGHT PROFILE PHOTO (AFTER TREATMENT)

AERIAL VIEW PHOTO (AFTER TREATMENT)

CHIN/NECK VIEW (AFTER TREATMENT)

View All Photos
POST - Treatment Notes

HOW WILL WE REMEMBER THIS CLIENT? WHAT DID YOU LEARN ABOUT THEM?

Mom of 2 boys, a 5 month old and almost 2 year old. She recently started her juicing business and left corporate America

WHAT PRODUCTS DO YOU RECOMMEND FOR AT HOME USE?

ADDITIONAL NOTES

APPOINTMENT SUMMARY

View Entire History

IS THIS YOUR FIRST TIME RECEIVING A SERVICE AT FLESH?

yes

HOW DID YOU HEAR ABOUT US?

Instagram

ARE YOU PREGNANT OR BREASTFEEDING?

no

WHEN AND WHERE WAS YOUR LAST FACIAL SERVICE? WHAT TYPE OF SERVICE DID YOU RECEIVE? WERE YOU SATISFIED WITH YOUR RESULTS?

Natural Body Spa Decatur in February of 2021. I received the Natural body signature facial by eminence. I was somewhat satisfied with the results, not completely.

BIRTHDATE MM/DD/YY

9/29/1994

TELL US ABOUT YOUR CURRENT SKIN CARE REGIMEN. WHAT PRODUCTS DO YOU USE?

I currently was my face in the morning just water and a wash cloth. I moisturize with Shea butter and at night I wash my face in the shower with Eminence Stone Crop Gel Wash. From time to time I may rub my face down with alcohol.

ARE YOU CURRENTLY USING ANY PRODUCTS WITH RETINOLS, AHA/BHA. OR ANY OTHER ACID?

No.

HOW OFTEN DO YOU USE THE PRODUCTS YOU LISTED ABOVE?

Only at Night, When I can remember- I'm very inconsistent

HAVE YOU SEEN A DERMATOLOGIST IN THE LAST SIX MONTHS? IF SO, WHY? WAS ANYTHING PRESCRIBED?

No.

LIST ANY MEDICATIONS AND SUPPLEMENTS YOU ARE CURRENTLY TAKING AND HAVE TAKEN IN THE LAST SIX MONTHS.

Prenatal Vitamins.

HAVE YOU EVER TAKEN ACCUTANE? IF SO, LIST ALL DATES AND LENGTH OF TIME.

No.

PLEASE LIST ALL ALLERGIES.

Amoxicillin

DO YOU HAVE ANY RASHES, SKIN CONDITIONS, MEDICAL CONDITIONS, OR DISORDERS?

Rosacea & Eczema

WHAT TYPE OF DIET DO YOU FOLLOW?

Plant Based- I'm primarily Vegan but occasionally consume small amounts of meat/seafood and dairy

HOW OFTEN DO YOU MAKE BOWEL MOVEMENTS?

Few times a day

DO YOU SMOKE?

no

WHEN IS THE LAST TIME YOU DETOXED? WHAT TYPE OF DETOX DID YOU DO, AND FOR HOW LONG?

N/A

WHAT ARE YOUR OVERALL SKIN CARE GOALS?

A consistent skincare routine; hydrate dry skin: free of clogged pores in the nose and chin area: achieve healthier skin overall.

Intake Form

Product Purchases

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