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):
Select File
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