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MICRODERMABRASION CLIENT CONSULTATION FORM Name Medical Information Diabetes Epilepsy Heart disease Pacemaker Hemophiliac Pregnant Anticoagulants Hormonal treatments Hypertension I.D.U. Glandular.

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How to fill out the MICRODERMABRASION CLIENT CONSULTATION FORM online

Filling out the microdermabrasion client consultation form online is a crucial step in understanding your skincare needs and preparing for your treatment. This guide provides step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to effectively complete the form.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by entering your name in the designated field at the top of the form. Ensure your name is clear and spelled correctly.
  3. Proceed to the medical information section. This includes a checklist of conditions such as diabetes, epilepsy, or heart disease. Select all that apply by marking the corresponding checkboxes.
  4. In the skin disease section, provide specific details about any current skin issues you may have. This information is essential for the esthetician to understand your skin type.
  5. Indicate whether you are pregnant or lactating in the appropriate fields labeled 'Yes' or 'No'. Your response will help in assessing the safety of the procedure.
  6. Answer the question about herpes outbreaks by selecting 'Yes' or 'No'. This information is important as it can influence treatment recommendations.
  7. List all medications you take internally, including any recent use of . Include the dates of use for context.
  8. Document any topical medications regularly used, such as or AHAs, in the specified area on the form.
  9. Write down any allergies or allergic reactions you have experienced in the designated space.
  10. Assess your sun exposure and select the category that best describes your situation: A lot, Average, or Minimal.
  11. Indicate whether you suffer from any of the listed skin issues, such as acne or rosacea, by checking the corresponding boxes.
  12. In the experience section, note any previous treatments you've had, such as microdermabrasion or professional facials, by ticking the relevant options.
  13. Convey what you hope to achieve from the treatment by providing a brief description in the designated field.
  14. Finally, sign and date the form at the bottom to confirm the information you have provided.
  15. Once completed, ensure to save your changes, download, print, or share the form as needed.

Get started on your journey to healthier skin by filling out the microdermabrasion client consultation form online today.

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