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The Lane Center for Natural Healing 160 Old Derby Street Suite 457 Hingham MA 02043 Tel 781-741-8800 Fax 781-741-8810 Skin Care Intake Form Name Home Phone Address Business Phone Email Date of Birth Do you wear contact lenses Do you have asthma Are you pregnant Do you have heart trouble Do you have diabetes Y/N Please list any medications you now take Are you using glycolic acids or any prescription drugs for your skin If yes please list Referral Source May we thank your referral source Do...
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How to fill out skin care consent form

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Hello this is Trina welcome to spa Lila, and today we are interviewing Isabel, and we're going to talk about acne oily skin and acne scarring Music, so Isabelle tell us about your skin um I have acne okay and acne since I was 12 years old, so there's a lot of scarring as well because I've been thinking okay and scarring and picking it's kinda good thinking and I have oily skin okay as far as I can see it's an oily skin okay and anything else that is a concern of yours um not at the moment just mostly acne scarring picking an oily skin yeah okay so what do you do right now to help with that um like the acne yeah like what is your skincare routine I cleanse in the morning and at night okay what kind of cleanser I'm using a set of phone okay, so it's like I guess a gentle cleanser okay um and then telling our and then moisturize okay, so you tone and then moisturize and is it tone and moisturize both morning and night yes okay and what kind of tone are you using I'm using like a rose water okay and then are you doing any kind of exfoliation at all um I have a scrub that I use once a week okay and what's inside the scrub is it made with like do you know what it is it jojoba beads apricot um I don't know it's one of those like drugstore just little like if anyone like a science you don't know what the little balls are made of okay yeah, so there's now like glycol or salicylic acid or anything like that in there it's just kind of like yeah salicylate okay salicylate and in the scrub okay is there any sunscreen that you're using no okay and any anti oxidants or oils or anything like that no okay all right so in this routine that you're doing right now to combat your acne you're not really using anything that's going to help stop the acne so doing a scrub once a week isn't really going to do anything because acres inside the skin, and it's under the skin so what a scrub does is it is feels good on the surface but if you think of like if there's a clog inside a hole, and you're scrubbing at the surface you're not getting what's inside the hole right, so you have to get something that's going to go down and unclog that pore so that it'll come out so scrubbing at the surface and salicylic acid is good for acne, but it's good for like surface acne when you have already a pimple that's there, and it's going to help to fight that, but you want to unclog the pores so that you don't get a buildup it which causes the acne, so stuff like that would be done you ever get cystic acne or is it mostly like blackheads and pimples cystic as well where do you get those um I get them around my chin sometimes my forehead okay so does that usually come during your period yes okay so to help with cystic acne is one ingredient it's called benzoyl peroxide and benzoyl peroxide is like a liquid oxygen and cysts are like little hard balls under the skin and inside the ball is pee bacteria and bacteria the pee bacteria doesn't like to live in oxygen, so that's why it's contained...

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How to fill skin refers to the process or guidelines on completing a specific document or form related to skin treatments or procedures.
Individuals seeking skin treatments, healthcare providers, or professionals administering skin-related procedures may be required to fill out this document.
To fill out how to fill skin, follow the provided instructions carefully, entering all necessary personal and medical information as prompted.
The purpose of how to fill skin is to ensure proper documentation and consent for skin treatments, enhancing safety and compliance with regulations.
Information typically includes patient details, medical history, treatment specifics, consent statements, and any disclaimers or risks associated with the procedure.
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