Makeup Intake Form

How did you hear about us?
Have you used any chemical exfoliants (AHAs/BHAs) in the past week?
Are you using any retinol such as Retin-A, Renova, Tretinoin or Accutane?
Are you using any other skin thinning, brightening products or medications?
Have you had any reaction or have allegies to any cosmetic skincare products?
Have you had chemical peels, laser or microdermabrasion treatments in the last month?
Do you have any special skin concerns pertaining to your face or body?
Skin Conditions

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