Get Confidential Client In-take Form (facial) - Pure Aesthetica

This guide provides clear, step-by-step instructions to help you complete the Confidential Client In-Take Form (FACIAL) - Pure Aesthetica online. Filling out this form accurately ensures you receive the best possible treatment tailored to your needs.

Follow the steps to fill out the form accurately.

1. Press the 'Get Form' button to access the Confidential Client In-Take Form and open it in your designated online editing interface.
2. Begin filling out your personal information in the designated fields, including your name, address, phone numbers, email, and date of birth. Ensure all details are accurate and complete.
3. Indicate how you heard about Pure Aesthetica by filling it in the appropriate section to help the practice understand its outreach effectiveness.
4. Answer the medical questions honestly, indicating any recent health conditions or treatments. Make sure to provide thorough explanations where requested.
5. Review the list of health conditions and check all that apply. This information is crucial for ensuring your safety during treatments.
6. Complete the lifestyle questions regarding smoking, diet, exercise, and stress levels to give your aesthetician a comprehensive overview of your health habits.
7. List any regular medications or supplements you are taking, making sure to include both prescription and over-the-counter products.
8. Carefully answer questions about your skincare routine, including the use of specific products like or any past adverse reactions to treatments.
9. Fill out any specific women's health questions, if applicable, ensuring that all personal medical history is disclosed appropriately.
10. Once you have completed all sections, review the entire form for completeness and accuracy. Then, provide your signature and the date in the designated area.
11. Finally, save your changes, and you have the option to download, print, or share the form as needed for your records.

Complete your Confidential Client In-Take Form online today for a smooth and efficient experience.