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733 North Beers Street Suite U7 Holder 300 Terrine Road Suite 334 Old Bridge (732) 7393033 www.jeunessemedicalspa.com PLEASE PRINT First Name:___ Last Name:___ Address: ___Town:___Zip:___ Home#:___Mobile#:___Work#:___

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How to fill out new spa intake form

01

Start by providing your personal information such as name, address, contact number, and email.

02

Fill out any medical history information accurately, including any allergies, medications, and previous treatments.

03

Specify your current skin concerns or areas you would like to focus on during the spa treatment.

04

Indicate any preferences or special requests you may have for the treatment, such as pressure preference or specific areas to avoid.

05

Sign and date the form to acknowledge that all information provided is accurate and complete.

Who needs new spa intake form?

01

Anyone visiting a spa for the first time

02

Existing spa clients who have not filled out an intake form in the past year

03

Individuals with specific skin concerns or health conditions that may impact their spa treatment

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What is new spa intake form?

The new spa intake form is a document used to collect information from clients before they receive spa services.

Who is required to file new spa intake form?

All clients who are new to the spa or have not visited within a certain time frame are required to file a new spa intake form.

How to fill out new spa intake form?

Clients can fill out the new spa intake form by providing personal information, medical history, and any specific preferences or concerns.

What is the purpose of new spa intake form?

The purpose of the new spa intake form is to ensure the safety and well-being of clients by understanding their needs and potential health issues.

What information must be reported on new spa intake form?

The new spa intake form may require clients to report personal information, medical conditions, allergies, and any preferences for their spa services.

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