DIGITAL CONSULTATION CARD

Tell us your skin concerns...

Acne / breakouts

Dryness

Oily

Redness

Sagging

Scarring

Ageing

Other (please specify):

Lines & Wrinkles

Pigmentation

Rosacea

Sensitivity

Uneven tone/texture

How would you best describe your skin type?

Upload a picture of your skin (optional):

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Which products do you currently use? (skincare, makeup, supplements etc)

How would you describe your skincare routine?

Do any of the following conditions apply to you?

Epilepsy

Metal pins or plates

Pacemaker

Pregnant / Trying

Known allergies (please specify):

Other information:

Consultant's notes:

Thank you for submitting your information