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What are your main skin priorities? (If there was anything you could improve about your skin, what would it be?)

Are there any particular areas of the face / body you would like to focus on today?

What is your treatment timeline expectation? (E.g., do you have any special events coming up?)

Your current skincare routine & products currently using:

Details / When performed:

Please tick any of the following that apply to you:

Other Medical Conditions (please explain):

Regular Medications (antibiotics, antidepressants, etc.):

What medications, vitamins or supplements do you take on a regular basis?

Do you have any allergies? (Environmental or topical skin products):

Have you had any serious health problem / major surgery within the last 12 months?

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