Facial Intake Form *Confidential* - jmadisonspa 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your personal information in the designated fields, including your name, date of birth, and contact details. This ensures that we have accurate information for your appointment.
3. Indicate how often you receive facials by selecting one of the options provided. This helps us tailor your treatment plan.
4. Describe your skin type by checking the appropriate box. Understanding your skin type is crucial for effective treatment.
5. List any present concerns regarding your skin by checking all that apply. If necessary, provide additional details in the space provided.
6. Answer questions about previous skincare services and any medications or allergies you may have. This information is vital for ensuring a safe and effective facial experience.
7. For women, complete the section regarding menstrual health and hormonal issues to help us understand any additional factors affecting your skin.
8. Finally, share what you would like to improve about your skin in the provided space to help guide our treatment approach.

Start filling out your Facial Intake Form today for a personalized spa experience!