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! Estrella Apothecary & Spa 2515 Ni collet Avenue! 612.871.9122 / www.estrella.mn! ! ! SKIN CARE CLIENT HEALTH HISTORY Personal Information Name ! DATE Address ! Home phone ! Cell/work phone Emergency
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How to fill out skin care intake pages:

01
Start by providing your personal information such as your name, contact details, and date of birth.
02
Next, indicate any relevant medical information such as allergies, skin conditions, or medications you are currently taking.
03
Specify your current skincare routine including the products you use and the frequency of usage.
04
Mention any specific skincare concerns or goals you have, such as treating acne, reducing wrinkles, or improving overall skin texture.
05
Provide details about your lifestyle habits that may affect your skin, such as smoking, sun exposure, diet, and exercise.
06
Indicate any previous treatments or procedures you have undergone for your skin.
07
Finally, sign the intake form to confirm that all the information provided is accurate and complete.

Who needs skin care intake pages:

01
Individuals seeking professional skincare advice or treatments.
02
Anyone with specific skincare concerns or goals.
03
People with certain medical conditions or allergies that may require special attention when choosing skincare products or treatments.
04
Individuals interested in maintaining or improving their skin health and appearance.
05
Those who have previously undergone skincare treatments and would like to provide a comprehensive history to their skincare professional.
Note: The need for skin care intake pages may vary depending on the skincare professional or facility you are visiting. It is always best to check with them beforehand to determine if an intake form is required.
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Skin care intakepages is a form used to gather information about a client's skin care routine, concerns, and goals.
Skin care professionals such as estheticians, dermatologists, and spas are required to file skin care intakepages for each client.
Skin care intakepages can be filled out by asking the client questions about their current skin care routine, products used, skin concerns, and desired outcomes.
The purpose of skin care intakepages is to gather information that will help the skin care professional customize a treatment plan for the client.
Information such as the client's skin type, current products used, skin concerns, allergies, and any previous skin care treatments must be reported on skin care intakepages.
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