Let's Get to Know Each Other...

Check the boxes that describe your relationship with your skin:



Topical Medications: Have you used any of these on your skin in the past 3 months?






Do you have any allergies?



Have you ever taken Accutane?



Have you had a peel or used any exfoliants within the last 48 hours?

Have you waxed, threaded or used hair removal creams within the last 48 hours?

Do you use sunscreen on a daily basis?

Are you currently pregnant or lactating?

For teen clients under 18: I, give permission for my child to receive skincare services at Face Haus.

By submitting this form, I confirm that the answers above are correct and I have not withheld any information that may be relevant to my treatments at Face Hause.

Form available for download and print here.

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