General Questions
Medical History
Skin Information
Lifestyle
100

The form handed to the client during check-in to be filled out for the service provider to thoroughly look over before beginning the service.

Client Intake Form

100

Pregnancy and breastfeeding contraindications.

Salicylic Acid, chemical peels, Retinol, all electrotherapy 

100

A routine of daily/weekly products the client uses under the direction of an esthetician to better help them achieve their skin goals.

Homecare routine/regimen

100

Condition of the body in need of water (hydration)

Dehydration

200

A form to accompany the Client Intake Form to allow the client to review all required information and risks associated with the service followed by client initials and signature before starting the service.

Consent Form(s)

200

Specialized branch of skincare that adapts traditional esthetic treatments to safely support people undergoing or recovering from cancer treatments.

Oncology Esthetics

200

Shiny t-zone and dry/dehydrated cheeks.

Combination Skin

200

Causes skin to become drier and flushed with redness.

Excessive alcohol use.

300
Contraindication for exfoliation with either chemical or mechanical means.

Recent UV (sun) exposure, sun burn, tanning, etc...

300

Derivative of Aspirin commonly used in acne skin treatments.

Salicylic Acid

300

Used on the skin to lighten (bleach) unwanted skin pigmentation but has been listed as a carcinogenic.

Hydroquinone 

300

Asphyxiates the blood vessels and cuts off oxygen to the cells, as well as accelerates the look of skin aging.

Smoking/vaping

400

Area of Client Intake Form that helps establish possible skin concerns/goals due to physiological skin changes.

Clint age range 

400

Pain in joints, photosensitivity, dry skin, eyes, and mouth, as well as mandatory cooperation with all FDA monthly testing. Must 6+ months off to receive skin treatments.

Accutane (Isotretinoin) 

400

Skin condition in which the skin barrier has been damaged/compromised and can take weeks or months to get back to normal.

Sensitized skin

400

A yearly skin check with a Dermatologist to monitor skin growths and lesions and to catch early signs of skin malignancies.

Skin Scan

500

Information to gather on Client Intake Form that helps build client/esthetician relationship by sending the client a special note via email/SMS once a year.

Client birth day and month

500

Medical skin condition diagnosed by a Dermatologist while an esthetician offers symptom management with calming and soothing products

Rosacea 

500

Main causes of Melasma

Hormones including those from birth control pills, HRT, and pregnancy

500

Hormone that can worsen acne, eczema, rosacea, psoriasis, dryness, dullness, and accelerate skin aging by increasing sebum, impairing the skin barrier, reducing collagen, and promoting inflammation.

Cortisol